关键词: 维持性血液透析；信息-知识-信念-行为理论；容量管理；护理

Abstract: Objective: To construct a volume management scheme for patients with maintenance hemodialysis and to evaluate its effect. Methods: A volume management scheme for patients with maintenance hemodialysis was established under the guidance of Information-Knowledge-Attitude-Practice (IKAP) theory through literature review, expert consultation and pilot study. Ninety-six patients with maintenance hemodialysis in the blood purification center of a tertiary grade A hospital in Nanchang city from June to December 2022 were conveniently recruited. The patients were divided into the experimental group or the control group by tossing a coin. Patients in the control group received routine care, and patients in the interventional group were given volume management programme. The interventional effects of the two groups were compared. Results: After 3 months, the volume management ability, self-efficacy, interdialytic daily weight gain and the incidence of common acute complications of dialysis of patients in the experimental group were significantly better than those in the control group (P<0.05). Conclusion: The volume management scheme for maintenance hemodialysis patients established in this study is scientific and feasible, and has guiding significance for the volume management of this patient.

Key words: maintenance hemodialysis; Information-Knowledge-Attitude-Practice theory; capacity management; nursing