| Objective Through literature review and investigation of the quality of life of kidney transplant patients in this region,the main factors affecting the quality of life of kidney transplant patients 0-3 years after surgery were determined.According to the main factors,the main nursing measures for improving the quality of life of kidney transplant patients 0-3 years after surgery were formulated based on ADOPT nursing intervention mode.The effect of this model on improving the quality of life in patients with renal transplantation 0-3 years after operation was also discussed.Methods 1.The main factors influencing the quality of life of kidney transplant patients 0-3 years after surgery were searched from CNKI,VIP,Wan fang,China Biomedical Network and Pubmed,and the present situation of patients 0-3 years after operation in a third class hospital in Inner Mongolia Autonomous Region was investigated and analyzed.Combined with literature review and status survey,the main factors influencing the quality of life of kidney transplant patients after surgery were determined as follows: Patients with 0 < postoperative years ≤1 year,0-1 years,were anxiety and depression;patients with 1 < postoperative years ≤3 years,1-3 years,were compliance;2.According to the expert of title,education and so on to form a panel of experts,according to China’s establishment of primary health care foundation"rehabilitation instruction manual after renal transplantation and 2019 edition of the"guidelines for follow-up after renal transplantation ",the first draft of the proposed after a panel of experts to discuss,completed the revision of the draft and preliminary experiments,ultimately determines the final version based on ADOPT nursing intervention mode the intervention plan;3.This study is a quasi-experimental study,96 patients who met the inclusion and exclusion criteria 0-3 years after kidney transplantation and were regularly followed up in the kidney transplantation clinic of urology Department of a Third Class A hospital in Inner Mongolia Autonomous Region from December 2020 to August 2021 were selected as the subjects,based on the analysis of the current situation of research area,the 96 cases of renal transplantation patients using simple random sampling method,grouped into intervention group 48 cases,There were 48 patients in the control group,and then according to the stratified sampling method,they were finally divided into: in the intervention group,there were 24 patients 0-1 year after surgery and 24 patients 1-3years after surgery,a total of 48 patients;in the control group,there were 24 patients0-1 year after surgery and 24 patients 1-3 years after surgery,a total of 48 patients.After the consent of the patients,the selected patients were numbered.The control group was given outpatient nursing routine of urological kidney transplantation,and the intervention group was given nursing measures based on ADOPT nursing intervention mode;4.The anxiety,depression and quality of life of patients in the two groups 0-1 year after surgery were analyzed and compared by using the anxiety self-rating Scale,depression self-rating Scale and renal transplant patients quality of life related rating scale.The compliance and quality of life of patients in the two groups 1-3 years after surgery were analyzed and compared using the renal transplant patient compliance Scale and the Renal transplant patient Quality of life Related Assessment Scale.Clinical outcome indicators(blood pressure,creatinine and body mass index)of patients in the intervention group and the control group 0-3 years after surgery were analyzed and compared using the body mass index calculation formula and the general situation questionnaire of kidney transplantation patients;5.SPSS22.0statistical software was used for statistical analysis of the study data.The test level was α=0.05,and P < 0.05 was considered to be statistically significant.Statistical description was carried out by ± ,frequency,and composition ratio.Repeated measures an OVA was used to compare the intervention group and control group at different time points within and between groups.Results 1.Comparison of social demography: there was no significant difference in the social demography data between the two groups before intervention,and the data were comparable(P > 0.05);2.Comparison of anxiety scores: Repeated measures an OVA showed that there was no significant difference in anxiety scores between the two groups before intervention(P > 0.05),and the downward trend of anxiety scores in the intervention group was better than that in the control group after intervention,and the difference was statistically significant(P < 0.001);3.Comparison of depression scores: Repeated measures an OVA showed that there was no statistically significant difference in depression scores between the two groups before intervention(P > 0.05).After intervention,depression scores in the intervention group had a downward trend better than that in the control group,with statistically significant difference(P < 0.001);4.Compliance score comparison: Repeated measures ANOVA showed that there was no statistical significance in medication compliance and follow-up compliance between the two groups before and after intervention(P > 0.05);The scores of living habits compliance,self-monitoring compliance and total follow-up compliance had no statistical significance before intervention(P > 0.05),but the rising trend of scores in the intervention group was better than that in the control group after intervention,with statistically significant difference(P < 0.001);5.Comparison of quality of life scores: Repeated measure variance analysis showed that there was no statistical significance in the scores of all dimensions of quality of life and total score of quality of life of patients 0-1 and 1-3 years after intervention(P >0.05),but the upward trend of scores of all dimensions of quality of life and total score of quality of life of patients in the intervention group was better than that in the control group,and the difference was statistically significant(P < 0.001);6.Comparison of clinical outcome indicators: Repeat measure an OVA showed that there were no statistically significant differences in blood pressure,creatinine and body mass index scores between the two groups before intervention(P > 0.05),and the decline trend of these three outcome indicators in the intervention group was better than that in the control group after intervention,with statistically significant differences(P < 0.001).Conclusion Adopt-based nursing interventions can effectively reduce anxiety and depression levels in patients 0-1 year after kidney transplantation,improve compliance levels in patients 1-3 years after kidney transplantation,and improve relevant clinical outcomes,thereby improving the quality of life in patients 0-3 years after kidney transplantation. |
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