CAJ | 학술논문

目的：探讨行为转变理论干预模式（ TTM干预）对维持性血液透析患者自我管理行为的效果，为促进其生活质量的提高提供理论依据。方法：将64例维持性血液透析患者随机分为对照组（32例）和干预组（32例）。对照组给予常规血液透析护理，干预组除给予常规护理外，还实施TTM干预；并在干预前和干预12周后评估和比较2组患者的自我管理行为。结果：干预组患者在TTM干预后自我管理总分及各领域得分均高于干预前，差异有统计学意义（ P＝0．000）；对照组患者自我管理各领域得分在TTM干预前后，差异无统计学意义（P＞0．05）。结论：TTM干预模式有助于提高MhD患者的自我管理水平，应在临床护理工作中加以推广和应用。
목적：탐토행위전변이론간예모식（ TTM간예）대유지성혈액투석환자자아관리행위적효과，위촉진기생활질량적제고제공이론의거。방법：장64례유지성혈액투석환자수궤분위대조조（32례）화간예조（32례）。대조조급여상규혈액투석호리，간예조제급여상규호리외，환실시TTM간예；병재간예전화간예12주후평고화비교2조환자적자아관리행위。결과：간예조환자재TTM간예후자아관리총분급각영역득분균고우간예전，차이유통계학의의（ P＝0．000）；대조조환자자아관리각영역득분재TTM간예전후，차이무통계학의의（P＞0．05）。결론：TTM간예모식유조우제고MhD환자적자아관리수평，응재림상호리공작중가이추엄화응용。
Objective:To explore the theory of behavior change in maintenance hemodialysis patients self management behavior and the influence of quality of life , as to provide theoretical basis for improve the quality of life .Methods:64 patients with maintenance hemodialy-sis were randomly divided into control group and intervention group and there were 32 patients in each group .The control group given he-modialysis routine nursing care , intervention group in addition to the given routine care , also the implementation of TTM intervention;meanwhile, evaluating and comparing the self -management behaviors of these two groups before and after 12 weeks'intervention.Re-sults:Intervention group patients after intervention TTM self -management in various fields , score and total score were higher than before ,there was statistical significant(P =0.000);control group's self-management scores in all areas before and after TTM intervention was no significant difference (P>0.05).Conclusion:TTM intervention model might be helpful to improve the self -management level of MhD patients;therefore, it should be promoted and applied in clinical nursing .