德尔菲法护理模式对血液透析患者血磷及睡眠质量的影响
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Effect of Delphi Nursing Model on Blood Phosphorus and Sleep Quality in Hemodialysis Patients
GUO Xiufeng，JIANG Fenling
（Department ofBlood Purification，the Second Afiliated Hospital of Xiamen Medical College，Xiamen361ooo，China）
AbstractObjective：ToobservetheeffectofDelphi nursing modelon blod phosphorusand sleepqualityin hemodialysis patients.Methods：FromMaytoOctober2O25，20OhemodialysispatientsfromtheSecondAfiliated HospitalofXiamenMedical College were selected as the subjects. They were divided into control group（ n=100 ，received routine care during dialysis）and the observation group（ n=100 ，received Delphi nursing mode）using the random number table. Changes in the sleep quality，insomnia symptoms，qualityoflife，and blood phosphorus levelsbeforeandafternursingcare werecompared.Results：After nursing，the scoresof sevendimensionsandtotalscoresofthePitsburgh SlepQualityIndex（PSQI）inbothgroups were significantlyreduced （ P<0.05 ），which were significantly lower in the observation group than the control group（ P<0.05 ）. After nursing，the scores of the Asens Insomnia Scale（ AIS） in both groups were significantly reduced（ P<0.05 ），which were significantly lower in the observation group than the control group（ P<0.05 ）. After nursing，the scores of the World Health Organization Quality of Life Assay （WHOQOL-BREF） in both groups were significantly elevated （ P<0.05 ），which were significantly higher in the observation group than the control group（ P<0.05 ）. After nursing，the blood phosphorus levels in both groups were significantly reduced（ P< 0.05），which were significantly lower in the observation group than the control group（ P<0.05 ）. Conclusion： Delphi nursing model for hemodialysis patients can improve their sleepquality，qualityof life，and reduce their blood phosphorus levels.
KeywordsDelphi nursing model； Nursing； Sleepquality； Insomnia symptoms；Quality of life； Blood phosphorus中图分类号：R459.52;R473.5 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.07.031
血液透析为目前肾衰竭患者主要的治疗方案，通过体外循环模拟肾脏功能对血液中的代谢废物及其他有毒物质进行清理，可达到控制病情、改善临床症状的目的[1-2]。（剩余5317字）
