中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
29期
116-119
,共4页
自我管理教育%维持性血液透析%生存质量
自我管理教育%維持性血液透析%生存質量
자아관리교육%유지성혈액투석%생존질량
Self-management education%Maintenance hemodialysis%Quality of life
目的：探讨自我管理教育对维持性血液透析(MHD)患者自我管理行为的影响。方法选择2014年3月~2015年3月在浙江省立同德医院血液净化中心行MHD治疗的患者80例为研究对象，按随机数字表法分为对照组(40例)和研究组(40例)。对照组采用MHD患者常规健康教育方法，研究组在对照组基础上采用自我管理教育方法，比较两组干预前后的自我管理能力及生存质量。结果研究组干预后饮食及液体摄入、身体活动、心理社会行为、治疗行为、自我管理行为评分均明显高于干预前及对照组，差异有统计学意义(P<0.01或P<0.05)。研究组干预后生理领域、心理领域、社会关系领域、环境领域、生存质量评分均明显高于干预前及对照组，差异有统计学意义(P<0.01或P<0.05)。结论自我管理教育能提高MHD患者的自我管理能力，提高其生存质量，值得临床推广。
目的：探討自我管理教育對維持性血液透析(MHD)患者自我管理行為的影響。方法選擇2014年3月~2015年3月在浙江省立同德醫院血液淨化中心行MHD治療的患者80例為研究對象，按隨機數字錶法分為對照組(40例)和研究組(40例)。對照組採用MHD患者常規健康教育方法，研究組在對照組基礎上採用自我管理教育方法，比較兩組榦預前後的自我管理能力及生存質量。結果研究組榦預後飲食及液體攝入、身體活動、心理社會行為、治療行為、自我管理行為評分均明顯高于榦預前及對照組，差異有統計學意義(P<0.01或P<0.05)。研究組榦預後生理領域、心理領域、社會關繫領域、環境領域、生存質量評分均明顯高于榦預前及對照組，差異有統計學意義(P<0.01或P<0.05)。結論自我管理教育能提高MHD患者的自我管理能力，提高其生存質量，值得臨床推廣。
목적：탐토자아관리교육대유지성혈액투석(MHD)환자자아관리행위적영향。방법선택2014년3월~2015년3월재절강성립동덕의원혈액정화중심행MHD치료적환자80례위연구대상，안수궤수자표법분위대조조(40례)화연구조(40례)。대조조채용MHD환자상규건강교육방법，연구조재대조조기출상채용자아관리교육방법，비교량조간예전후적자아관리능력급생존질량。결과연구조간예후음식급액체섭입、신체활동、심리사회행위、치료행위、자아관리행위평분균명현고우간예전급대조조，차이유통계학의의(P<0.01혹P<0.05)。연구조간예후생리영역、심리영역、사회관계영역、배경영역、생존질량평분균명현고우간예전급대조조，차이유통계학의의(P<0.01혹P<0.05)。결론자아관리교육능제고MHD환자적자아관리능력，제고기생존질량，치득림상추엄。
Objective To discuss effect of self-management education on self-management behavior of patients with maintenance hemodialysis. Methods 80 cases of patients with maintenance hemodialysis treated in Blood Purification Center, Tongde Hospital of Zhejiang Province from March 2014 to March 2015 were selected and divided into control group (40 cases) and study group (40 cases) according to random number table method. Control group was treated with conventional health education methods for maintenance hemodialysis patients, while study group was treated with self-management education methods on the basis of control group. Self-management ability and quality of life before and af-ter intervention were compared between two groups. Results Diet and fluid intake, physical activity, psychosocial be-havior, therapy behavior, self-management behavior scores after intervention of study group were significantly higher than those before intervention and control group, with statistical differences (P<0.01 or P<0.05). Physiological field, psychological field, social relationship field, environment field, life quality scores after intervention of study group were significantly higher than those before intervention and control group, with statistical differences (P<0.01 or P<0.05). Conclusion Self-management education can improve self-management skills of maintenance hemodialysis patients and improve their quality of life, which is worthy of clinical promotion.
