目的探讨个案管理优势模型对维持性血液透析患者自我感受负担和依从性的影响。方法按照病区将符合纳入标准的92 名维持性血液透析患者分为对照组和实验组，实验组患者接受为期6 个月的基于个案管理优势模型的护理干预，对照组患者接受常规护理，比较干预前后2 组患者《自我感受负担量表》和《依从性量表》得分。结果经过个案管理优势模型干预，实验组患者《自我感受负担量表》(t=-10.785，P＜0.001)和《依从性量表》各维度[饮食依从(t=7.739,P＜0.001)，液体摄
入依从(t=5.817,P＜0.001)，用药依从(t=3.616,P＜0.001)，透析方案依从(t=3.458,P =0.001)]得分均高于对照组，差异有统计学意义。结论以优势为导向的个案管理模式能够有效降低维持性血液透析患者的自我感受负担，提高其依从性。

Objective To explore the effect of strengths model of case management (SMCM) on selfperceived burden and compliance in maintenance hemodialysis (MHD) patients. Methods A total of 92 patients were randomly divided into intervention group in which patients received SMCM plus routine care and
routine group in which patients received routine care only. Scores of self-perceived burden scale and compliance scale were compared between the two groups. Results Patients in the intervention group had higher scores of self- perceived burden scale (t=- 10.785, P＜0.001) and compliance scale in every dimension (t=7.739, P＜0.001 for diet compliance; t=5.817, P＜0.001 for liquid intake compliance; t=3.616, P＜0.001 for drug compliance; t=3.458, P=0.001 for dialysis protocol compliance). Conclusion SMCM intervention can effectively lower self-perceived burden level and improve compliance in MHD patients.