中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
28期
3475-3478
,共4页
肾透析%手卫生%健康教育%行为分阶段转变理论
腎透析%手衛生%健康教育%行為分階段轉變理論
신투석%수위생%건강교육%행위분계단전변이론
Renal hemodialysis%Hand hygiene%Health education%Trans-theoretical model and stages of change
目的 应用行为分阶段转变理论模型,探讨血液透析患者手卫生的健康教育方法,促进患者建立科学的行为方式,提高自我管理能力,从而减少感染等并发症的发生.方法 选择100例血液透析患者为研究对象,采用行为分阶段转变理论模型进行干预,评价干预前后患者手卫生状况.结果 本组血液透析患者干预前手卫生认知得分为(54.7±5.7)分,干预后为(84.9±4.6)分,干预前后比较差异有统计学意义(t=-13.855,P＜0.01)；干预后患者手卫生执行率从46.8％提高到85.7％,洗手正确率从5.2％提高到80.9％,干预前后比较差异均有统计学意义(x2值分别为84.064,99.762;P ＜0.01).干预后MHD患者手部细菌培养平均菌落数为(5.62±3.6)cfu/cm2,明显少于干预前(112.0±12.4) cfu/cm2,干预前后比较,差异有统计学意义(t=16.96,P＜0.05).结论 运用行为分阶段转变理论能有效改善维持性血液透析患者手卫生状况.
目的 應用行為分階段轉變理論模型,探討血液透析患者手衛生的健康教育方法,促進患者建立科學的行為方式,提高自我管理能力,從而減少感染等併髮癥的髮生.方法 選擇100例血液透析患者為研究對象,採用行為分階段轉變理論模型進行榦預,評價榦預前後患者手衛生狀況.結果 本組血液透析患者榦預前手衛生認知得分為(54.7±5.7)分,榦預後為(84.9±4.6)分,榦預前後比較差異有統計學意義(t=-13.855,P＜0.01)；榦預後患者手衛生執行率從46.8％提高到85.7％,洗手正確率從5.2％提高到80.9％,榦預前後比較差異均有統計學意義(x2值分彆為84.064,99.762;P ＜0.01).榦預後MHD患者手部細菌培養平均菌落數為(5.62±3.6)cfu/cm2,明顯少于榦預前(112.0±12.4) cfu/cm2,榦預前後比較,差異有統計學意義(t=16.96,P＜0.05).結論 運用行為分階段轉變理論能有效改善維持性血液透析患者手衛生狀況.
목적 응용행위분계단전변이론모형,탐토혈액투석환자수위생적건강교육방법,촉진환자건립과학적행위방식,제고자아관리능력,종이감소감염등병발증적발생.방법 선택100례혈액투석환자위연구대상,채용행위분계단전변이론모형진행간예,평개간예전후환자수위생상황.결과 본조혈액투석환자간예전수위생인지득분위(54.7±5.7)분,간예후위(84.9±4.6)분,간예전후비교차이유통계학의의(t=-13.855,P＜0.01)；간예후환자수위생집행솔종46.8％제고도85.7％,세수정학솔종5.2％제고도80.9％,간예전후비교차이균유통계학의의(x2치분별위84.064,99.762;P ＜0.01).간예후MHD환자수부세균배양평균균락수위(5.62±3.6)cfu/cm2,명현소우간예전(112.0±12.4) cfu/cm2,간예전후비교,차이유통계학의의(t=16.96,P＜0.05).결론 운용행위분계단전변이론능유효개선유지성혈액투석환자수위생상황.
Objective Application of the trans-theoretical model and stages of change,to discuss the health education method of hand hygiene in hemodialysis patients,to help patients establish scientific behavior,to improve the ability of self-management and reduce the incidence of infection and other complications.Methods One hundred patients with maintenance hemodialysis (MHD) were chosen,and received the transtheoretical model and stages of change.The hand hygiene in hemodialysis patients was evaluated before and after the intervention.Results Before and after intervention,the total score of cognition of hand hygiene was (54.7 ±5.7) vs (84.9 ± 4.6),and the difference was statistically significant (t =-13.855,P ＜ 0.01).The execution rate of hand hygiene was 46.8％ vs 85.7％,the correct rate of hand-washing was 5.2％ vs 80.9％,and the differences were statistically significant (x2 =84.064,99.762,respectively; P ＜ 0.01).The hand bacteria colonies was (112 ± 12.4) vs (5.62 ± 3.6) cfu/cm2 before and after intervention,and the difference was statistically significant (t =16.96,P ＜ 0.01) ; the qualification rate was increased,and the difference was statistically significant (P ＜ 0.01).Conclusions Application of the trans-theoretical model and stages of change could ameliorate MHD patients hand hygiene status.
