国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2012年
6期
1093-1096
,共4页
血液透析%责任制%健康教育
血液透析%責任製%健康教育
혈액투석%책임제%건강교육
Hemodialysis%Responsibility system%Health education
目的 探讨责任制健康教育护理模式在维持性血液透析(MHD)患者治疗中的作用.方法 选择在本中心透析的186例MHD患者,采用前后对照方法实施健康教育.实验组实施责任制健康教育:首次行血液透析的管床护士即为责任制健康教育护士,即患者在本中心接受规律透析治疗开始,循环进行宣教,通过提问了解患者对健康教育知识的掌握情况,并有针对性、计划性对薄弱环节进行个性化健康教育.对照组实施随机健康教育.结果 责任制健康教育组与对照组在透析并发症控制情况的比较,实验组在心衰发生率、高血钾发生率、内瘘闭塞发生率均低于对照组,差异有统计学意义(p＜0.05).两组健康教育满意度情况比较,病人满意度和医生满意度实验组均高于对照组,差异有统计学意义(P＜0.05).结论 通过责任制健康教育护理模式的实施,提高了患者自我管理能力及治疗依从性,减少了透析并发症的发生,提高了患者的生活质量,提高了医患的满意度.
目的 探討責任製健康教育護理模式在維持性血液透析(MHD)患者治療中的作用.方法 選擇在本中心透析的186例MHD患者,採用前後對照方法實施健康教育.實驗組實施責任製健康教育:首次行血液透析的管床護士即為責任製健康教育護士,即患者在本中心接受規律透析治療開始,循環進行宣教,通過提問瞭解患者對健康教育知識的掌握情況,併有針對性、計劃性對薄弱環節進行箇性化健康教育.對照組實施隨機健康教育.結果 責任製健康教育組與對照組在透析併髮癥控製情況的比較,實驗組在心衰髮生率、高血鉀髮生率、內瘺閉塞髮生率均低于對照組,差異有統計學意義(p＜0.05).兩組健康教育滿意度情況比較,病人滿意度和醫生滿意度實驗組均高于對照組,差異有統計學意義(P＜0.05).結論 通過責任製健康教育護理模式的實施,提高瞭患者自我管理能力及治療依從性,減少瞭透析併髮癥的髮生,提高瞭患者的生活質量,提高瞭醫患的滿意度.
목적 탐토책임제건강교육호리모식재유지성혈액투석(MHD)환자치료중적작용.방법 선택재본중심투석적186례MHD환자,채용전후대조방법실시건강교육.실험조실시책임제건강교육:수차행혈액투석적관상호사즉위책임제건강교육호사,즉환자재본중심접수규률투석치료개시,순배진행선교,통과제문료해환자대건강교육지식적장악정황,병유침대성、계화성대박약배절진행개성화건강교육.대조조실시수궤건강교육.결과 책임제건강교육조여대조조재투석병발증공제정황적비교,실험조재심쇠발생솔、고혈갑발생솔、내루폐새발생솔균저우대조조,차이유통계학의의(p＜0.05).량조건강교육만의도정황비교,병인만의도화의생만의도실험조균고우대조조,차이유통계학의의(P＜0.05).결론 통과책임제건강교육호리모식적실시,제고료환자자아관리능력급치료의종성,감소료투석병발증적발생,제고료환자적생활질량,제고료의환적만의도.
Objective To investigate the effect of the responsibility system health education in treating patients with maintenance hemodialysis.Methods A total of 186 patients with maintenance hemodialysis in thecenter were selected and divided into two groups.Responsibility system health education was implemented in the experimental group:the nurse who did the first hemodialysis was the person who implemented responsibility system health education.Cyclical health education was done from patients adopted hemodialysis,the patients'grasping for the knowledge of health education was understood by questioning,weak links were dealt with personalized health education.Control group was received random health education. Results The results showed that the occurrence of heart failure,hyperkalemia and fistula occlusion in experimental group were all less than those in control group.Patient satisfaction and physician satisfaction in experimental group were higher than those in control group.There were significant differences statistically ( P ＜ 0.05 ).Conclusions The implementation of responsibility system health education can improve patients'self-management ability and treatment compliance,reduce the incidence of hemodialysis complications,improve the quality of life of patients and improve the satisfaction degree of doctor - patient.
