【摘要】目的评价协同护理模式在老年血液透析患者中的应用效果。方法选取2014 年1 月～2015 年6 月老年透析患者64 例，随机分为协同护理组(干预组)32 例和常规教育组(对照组)32 例，干预6个月后，比较干预组患者自我护理能力和遵医行为与对照组的差异。结果干预后，干预组患者自我护理能力优于对照组(t=3.254, P＜0.001)；遵医行为中除遵守透析方案外，在遵医嘱服药(χ²=19.474，P＜0.001)、液体摄入依从(χ²=6.846,P=0.022)、保护血管通路(χ²=12.674，P＜0.001)、自我监测(χ²=5.024，P =0.035)方面行为得分高于对照组，差异均有统计学意义。结论以协同护理模式为理论基础设计干预方案可提高老年透析患者的自我护理能力和遵医行为。

【Abstract】Objective To explore the effects of collaborative care model on elderly patients with hemodialysis (HD). Methods A total of 64 elderly HD patients were randomly divided into two groups, the intervention group (n=32), in which patients were treated with collaborative care model and the control group (n=
32), in which patients were treated with routine care procedure. The scores of self-care ability and compliance with medical treatment were compared after the intervention for 6 months between the two groups. Results After the intervention for 6 months, the mean score of self-care ability was higher in intervention group than in control group (P<0.001), and the scores of compliance were also higher in intervention group than in control group (P<0.001～0.035) except the score of compliance with dialysis protocols, which had no statistical significance between the two groups. Conclusion The collaborative care model can improve the self- care ability and compliance with medical treatment in elderly HD patients.