CAJ | 학술논문

目的：探讨PBL健康教育模式对维持性腹膜透析患者生存质量的影响。方法选择维持性腹膜透析患者46例，按随机数字表分为对照组（ n＝22）和PBL组（ n＝24）。对照组采用传统健康教育方法，PBL组采用PBL健康教育模式，干预6个月后采用治疗依从性评价表以及肾脏疾病生存质量专用量表（ KDQOL-SF）比较两组患者治疗依从性和生存质量。结果干预6个月后，PBL组患者治疗依从性得分为（3．88±0．78）分，对照组为（2．91±0．73）分，两组比较差异有统计学意义（t＝4．344，P＜0．05）；干预后PBL组KDTA总分（51．40±9．24）分，SF-36总分（49．39±6．17）分，均高于对照组，差异有统计学意义（ t值分别为2．614，3．928；P＜0．05）。结论 PBL健康教育模式符合维持性腹膜透析患者这一特殊群体的健康教育特点，有助提高生存质量，值得在临床护理中推广应用。
목적：탐토PBL건강교육모식대유지성복막투석환자생존질량적영향。방법선택유지성복막투석환자46례，안수궤수자표분위대조조（ n＝22）화PBL조（ n＝24）。대조조채용전통건강교육방법，PBL조채용PBL건강교육모식，간예6개월후채용치료의종성평개표이급신장질병생존질량전용량표（ KDQOL-SF）비교량조환자치료의종성화생존질량。결과간예6개월후，PBL조환자치료의종성득분위（3．88±0．78）분，대조조위（2．91±0．73）분，량조비교차이유통계학의의（t＝4．344，P＜0．05）；간예후PBL조KDTA총분（51．40±9．24）분，SF-36총분（49．39±6．17）분，균고우대조조，차이유통계학의의（ t치분별위2．614，3．928；P＜0．05）。결론 PBL건강교육모식부합유지성복막투석환자저일특수군체적건강교육특점，유조제고생존질량，치득재림상호리중추엄응용。
Objective To explore the effect of problem-based learning (PBL) health educational model on life quality of maintenance peritoneal dialysis patients .Methods Forty-six maintenance peritoneal dialysis patients in our hospital were chosen and divided into the control group ( n =22 ) and the experimental group (n=24).The control group received the routine health education , and the experimental group received the PBL health educational model .The treatment compliance and life quality of patients were assessed by the treatment compliance evaluation scale and KDQOL-SF questionnaire survey between two groups 6 months after the intervention.Results The treatment compliance 6 months after the intervention was (3.88 ±0.78) in the experimental group, and was (2.91 ±0.73) in the control group, and the difference was statistically significant (t=4.344,P<0.05).The scores of KDTA and SF-36 were respectively (51.40 ±9.24) and (49.39 ±6.17) in the experimental group after intervention , and were higher than those of the control group , and the differences were statistically significant (t=2.614,3.928, respectively;P<0.05).Conclusions PBL health educational model is in accord with the characteristics of health education among maintenance peritoneal dialysis patients , and can improve their life quality, and is worthy of clinical promotion .