CAJ | 학술논문

目的探讨自我管理教育在维持性血液透析者血压及容量控制中的作用.方法选择2012年2月至2013年2月在我院行维持性血液透析且合并高血压的患者56例,其中男31例,女25例,年龄29 ～ 75岁,平均(59±6)岁.在常规护理的基础上,以自我管理模式理论为指导,对患者进行疾病知识和管理技能培训,观察患者干预前与干预后3个月时血压及容量变化.采用t检验进行数据统计.结果进行自我管理教育3个月后,患者血压及容量控制水平较干预前显著提高,体质量增长量及降压药物应用均有所下降,差异统计学意义(均P＜0.05).结论自我管理教育能有效提高维持性血液透析者的健康行为和自我管理能力,有效控制患者血压,改善患者容量状况.
목적 탐토자아관리교육재유지성혈액투석자혈압급용량공제중적작용.방법 선택2012년2월지2013년2월재아원행유지성혈액투석차합병고혈압적환자56례,기중남31례,녀25례,년령29 ～ 75세,평균(59±6)세.재상규호리적기출상,이자아관리모식이론위지도,대환자진행질병지식화관리기능배훈,관찰환자간예전여간예후3개월시혈압급용량변화.채용t검험진행수거통계.결과 진행자아관리교육3개월후,환자혈압급용량공제수평교간예전현저제고,체질량증장량급강압약물응용균유소하강,차이통계학의의(균P＜0.05).결론 자아관리교육능유효제고유지성혈액투석자적건강행위화자아관리능력,유효공제환자혈압,개선환자용량상황.
Objective To explore the effects of self-management education on blood pressure control and volume among adult patients undergoing maintenance hemodialysis.Methods Fifty-six adult patients who received hemodialysis during February 2012 and February 2013 in our hospital were enrolled in this study (male 31,female 25,age 29 to 75 years old,mean age (59± 6) years old).Besides routine health care,all the participants were educated for health knowledge and disease management skills.Blood pressure and volume were compared before and 3 months after intervention.Student' s t test was used for data analysis.Results Blood pressure and volume control were improved after 3 months' self-management.Body weight gain and antihypertensive medication dose were declined (all P ＜ 0.05).Conclusion Self-management could effectively improve health behaviors of patients undergoing maintenance hemodialysis,significantly increase patients' self-management ability,and effectively control blood pressure and volume load.