CAJ | 학술논문

[目的]了解维持性血液透析病人知信行现况,建立三段式(门诊、住院、家庭)血液透析教育模式并探讨其对社区维持性血液透析病人知信行的影响。[方法]采用完全随机抽样方法抽取70例维持性血液透析病人进行知信行情况调查,采用三段式血液透析健康教育模式进行连续干预,6个月后,再次对病人进行知信行问卷调查,比较三段式健康教育前后病人知信行的变化情况。[结果]最终收回有效问卷61份,病人的知信行情况普遍较差；健康教育前后疾病知识平均分比较差异有统计学意义(P<0.05)；“信”调查“你认为经过自己努力可以提高生活质量”健康教育前后比较差异有统计学意义(P<0.05)。[结论]三段式健康教育对改善病人“知信行”状况有较大帮助,但未完全改善,尤其是健康行为改变尤为困难。
[목적]료해유지성혈액투석병인지신행현황,건립삼단식(문진、주원、가정)혈액투석교육모식병탐토기대사구유지성혈액투석병인지신행적영향。[방법]채용완전수궤추양방법추취70례유지성혈액투석병인진행지신행정황조사,채용삼단식혈액투석건강교육모식진행련속간예,6개월후,재차대병인진행지신행문권조사,비교삼단식건강교육전후병인지신행적변화정황。[결과]최종수회유효문권61빈,병인적지신행정황보편교차；건강교육전후질병지식평균분비교차이유통계학의의(P<0.05)；“신”조사“니인위경과자기노력가이제고생활질량”건강교육전후비교차이유통계학의의(P<0.05)。[결론]삼단식건강교육대개선병인“지신행”상황유교대방조,단미완전개선,우기시건강행위개변우위곤난。
Objective:To know about the status quo of KAP (knowledge,attitude,practice)of patients accepting maintenance hemodialysis,so as to set up three stages of health education model of hemodialysis including out-patient,inpatient and at home.And to probe into the influence of the model on the KAP of patients accepting maintenance hemodialysis.Methods:A total of 70 cases of patients with maintenance hemodialysis were selected by random sampling method and were investigated on the KAP of patients.The three stage of hemodialysis health education model was used for continuous intervention,6 months later,KAP questionnaire was used to survey them again.The KAP changes of patients were compared before and after three stage of health educa-tion.Results:The 6 1 effective questionnaires were taken back ultimately.Patient’s KAP is generally poor before and after health education.There was statistically significant difference in disease knowledge average score(P<0.05).There was statistically significant difference in “belief”investigation “you think through their own ef-forts to improve the quality of life of”before and after the health education(P<0.05).Conclusion:Three stages of health education model help a lot for improving patients’KAP,but not completely improved,especially on health behaviors changing.