关键词: 健康促进模型；血液透析；高磷血症；护理干预

Abstract: Objective: To evaluate the effect of nursing intervention based on Health Promotion Model (HPM) on the management of patients with hyperphosphatemia receiving Maintenance Hemodialysis (MHD). Methods: This study included 80 patients with hyperphosphatemia who underwent MHD treatment in the hemodialysis center of a tertiary grade A hospital from July to November 2019. Patients receiving dialysis every Monday, Wednesday, and Friday were included in the control group (n=40), and patients receiving dialysis every Tuesday, Thursday, and Saturday were in the intervention group (n=40). The control group received routine nursing, while the intervention group received the nursing care based on Health Promotion Model (HPM). The knowledge, behavior, and self-efficacy scores of hyperphosphatemia management, serum phosphorus levels, serum phosphorus pass rate, and serum albumin levels of the two groups were compared before intervention, 1 month and 4 months after intervention, respectively. Results: After 1 months of intervention, the knowledge and behavior scores in the intervention group were obviously higher than those in the control group, while the serum phosphate level was lower than that in the control group (P<0.05). After 4 months of intervention, the knowledge and behavior scores, self-efficacy scores, serum phosphorus pass rate and albumin levels were higher than those of the control group, yet the serum phosphorus level in the intervention group was lower than that in the control group, and the differences were statistically significant (P<0.05). Conclusion: The nursing intervention based on HPM can effectively improve patients' knowledge, behavior and self-efficacy level of hyperphosphatemia management, reduce the serum phosphorus level and improve their nutritional status.

Key words: Health Promotion Model; hemodialysis; hyperphosphatemia; nursing intervention