关键词: 分层个案管理, 维持血液透析, 自我管理能力, 并发症, 生活质量

Abstract: Objective: To explore the effect of stratified case management on maintaining self -management ability and quality of life in patients with chronic kidney disease undergoing maintenance hemodialysis. Methods: A total of 96 cases of patients with chronic kidney disease undergoing maintenance hemodialysis(MHD) were included from January 2021 to December 2021.The patients were divided into observation group (n=48）and control group (n=48）by random number table. The control group received routine nursing intervention. The observation group received stratified case management. The improvement of self-management ability and quality of life in two groups before intervention and after 3 months intervention were compared. The occurrence of adverse events of hemodialysis during the 3 -month follow -up of two groups were recorded. Results: The MHD Self-Management Behavior Scale(SMSH) score and Brief Health Status Scale (SF -36) related dimension scores of the observation group were significantly higher than the control group after intervention (P<0.05). The incidence of hemodialysis adverse events of the observation group were significantly lower than the control group during the follow-up period(P<0.05). Conclusion: Stratified case management can effectively improve the self -management ability of patients with chronic kidney disease undergoing MHD, reduce the occurrence of hemodialysis adverse events, and improve the quality of life of patients.

Key words: Stratified case management, Maintenance hemodialysis, Self-management ability, Adverse events, Quality of life