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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >A behavioural nursing intervention for reduced fluid overload in haemodialysis patients. Initial results of acceptability, feasibility and efficacy
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A behavioural nursing intervention for reduced fluid overload in haemodialysis patients. Initial results of acceptability, feasibility and efficacy

机译：减少血液透析患者液体超负荷的行为护理干预。可接受性，可行性和功效的初步结果

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Aim. To describe and perform a tailored treatment programme based on a behavioural medicine approach to enhance haemodialysis patients' self-management of fluid restriction.Background. Haemodialysis patients are required to manage dietary restrictions within a framework of adequate nutrition. Adherence to limited fluid allotment is important but difficult to accomplish. Pragmatic and effective ways of helping patients with fluid management are lacking.Methods. Cognitive-behavioural techniques were used in four quasi-experimental case studies. Central features in the programme were individual analysis of dietetic knowledge and fluid intake, setting goals, self-monitoring and prevention of relapse. Fluid overload was continuously assessed. Data were collected from September 2009-March 2010.Findings. Acceptability and feasibility of the intervention was satisfactory. A clear reduction of fluid overload was shown. Some problems related to treatment fidelity were identified.Conclusions. The behavioural medicine approach resulted in a clear reduction of fluid overload in each of the four cases included.Relevance to clinical practice. This approach could be used as a method for tailoring interventions targeted to fluid intake behaviour in a heterogeneous group of HD patients with excessive fluid overload. Such treatment should take account of individual cognitive-behavioural patterns and include self-efficacy to low fluid intake. The efficacy of the tailored approach in regular practice has to be further tested in controlled trials.
机译：目标。描述和执行基于行为医学方法的量身定制的治疗计划，以增强血液透析患者对液体限制的自我管理。血液透析患者需要在足够营养的框架内控制饮食。遵守有限的体液分配很重要，但很难实现。缺乏帮助液体管理患者的实用有效方法。在四个准实验案例研究中使用了认知行为技术。该计划的主要特征是对饮食知识和体液摄入量的个体分析，设定目标，自我监测和预防复发。不断评估液体超载。数据收集自2009年9月至2010年3月。干预的可接受性和可行性令人满意。显示出流体过载的明显减少。确定了与治疗保真度有关的一些问题。行为医学方法可明显减少包括在这四例病例中的液体超负荷。与临床实践有关。这种方法可以用作针对在过多液体超负荷的异类HD患者中针对液体摄入行为量身定制干预措施的方法。这种治疗应考虑个人的认知行为模式，并包括低液体摄入量的自我效能。量身定制的方法在常规实践中的功效必须在对照试验中进行进一步测试。

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