CAJ | 학술논문

目的：探讨将性格色彩理论应用于腹膜透析患者的培训管理对患者依从性及透析效果的影响。方法对我院腹膜透析中心2013年1月至2014年5月置腹膜透析管的95例患者应用乐嘉设计的性格色彩心理问卷进行性格色彩分析，入选72例。根据入选患者红、黄、蓝、绿性格色彩分成匹配的对照组和实验组，每组各36例。对照组采用传统的培训方式由腹膜透析护士进行腹膜透析培训7 d，每月1次随访管理；实验组根据性格色彩的不同给予因色教育培训、互动学习腹膜透析课程，并因色制订随访时间来管理。观察6个月，对2组患者采用腹膜透析患者自我管理能力行为问卷和美国Stanford 大学慢性病教育研究中心设计的自我效能量表，统计并分析2组患者自我管理能力、自我效能的评分；统计分析患者容量负荷、血压变化、透析充分性以及生化指标的变化。结果对照组和实验组患者自我管理能力总分分别为（5.64±1.57）、（6.75±1.32）分，自我效能总分分别为（5.22±1.48）、（6.69±1.43）分，透析充分性分别为1.64±0.13、1.85±0.13，Z 值分别为-2.969、-3.828、-6.361，均 P<0.01。水肿发生情况对照组24例，实验组11例，χ2=10.071，P<0.05。对照组与实验组收缩压分别为（147.78±15.69）、（135.39±9.01） mmHg（1 mmHg=0.133 kPa），舒张压分别为（95.86±7.50）、（83.94±7.46） mmHg，Z 值分别为-3.843、-5.666，均 P<0.01。结论应用性格色彩特性对腹膜透析患者实施教育培训，调动了患者自我管理的主动性，提高了患者自我护理能力及自我效能，增强患者依从性，能够提高腹膜透析的效果。
목적：탐토장성격색채이론응용우복막투석환자적배훈관리대환자의종성급투석효과적영향。방법대아원복막투석중심2013년1월지2014년5월치복막투석관적95례환자응용악가설계적성격색채심리문권진행성격색채분석，입선72례。근거입선환자홍、황、람、록성격색채분성필배적대조조화실험조，매조각36례。대조조채용전통적배훈방식유복막투석호사진행복막투석배훈7 d，매월1차수방관리；실험조근거성격색채적불동급여인색교육배훈、호동학습복막투석과정，병인색제정수방시간래관리。관찰6개월，대2조환자채용복막투석환자자아관리능역행위문권화미국Stanford 대학만성병교육연구중심설계적자아효능량표，통계병분석2조환자자아관리능력、자아효능적평분；통계분석환자용량부하、혈압변화、투석충분성이급생화지표적변화。결과대조조화실험조환자자아관리능력총분분별위（5.64±1.57）、（6.75±1.32）분，자아효능총분분별위（5.22±1.48）、（6.69±1.43）분，투석충분성분별위1.64±0.13、1.85±0.13，Z 치분별위-2.969、-3.828、-6.361，균 P<0.01。수종발생정황대조조24례，실험조11례，χ2=10.071，P<0.05。대조조여실험조수축압분별위（147.78±15.69）、（135.39±9.01） mmHg（1 mmHg=0.133 kPa），서장압분별위（95.86±7.50）、（83.94±7.46） mmHg，Z 치분별위-3.843、-5.666，균 P<0.01。결론응용성격색채특성대복막투석환자실시교육배훈，조동료환자자아관리적주동성，제고료환자자아호리능력급자아효능，증강환자의종성，능구제고복막투석적효과。
Objective To evaluate the effectiveness of training management applying character color theory in patients with peritoneal dialysis on the compliance and dialysis effect. Methods Of 95 patients undergoing catherization for peritoneal dialysis from January 2013 to May 2014 in the peritoneal dialysis center,72 patients accepted character color psychological questionnaire designed by Le Jia for character color analysis.72 patients were divided into matched control group and experimental group according to their choice with red, yellow, blue, green character color, 36 cases in each group. The control group adopted the traditional training way of accepting 7 days′training course teached by the professional nursers,one follow- up management each month. According to the difference of character color,the experimental group were given different education training courses, interactive learning, and follow- up time. After 6 months′follow- up, the two groups adopted peritoneal dialysis self management behavior questionnaire designed by Liu Pengfeng and self- efficacy scale designed by education research center for chronic disease in Amercian Stanford University. The score of self management ability and self- efficacy and the change of load capacity, blood pressure, dialysis adequacy and biochemical indicators of the two groups were analyzed. Results In the control group and experimental group,the score of self management ability and self- efficacy and the level of dialysis adequacy were statistically significant, respectively, (5.64±1.57) points vs. (6.75±1.32) points;(5.22±1.48) points vs. (6.69±1.43) points; 1.64±1.64 vs 1.85±0.13.Z and P values were respectively -2.969, -3.828, -6.361, and 0.003, 0.000, 0.000.Edema happened in the control group was 24 cases, and 11 cases in the experimental group. P and χ2 values were 0.013 and 10.017.Systolic blood pressure and di-astolic blood pressure were respectively (147.78±15.69) mmHg (1 mmHg=0.133 kPa) vs.(135.39±9.01) mmHg,(95.86±7.50) mmHg vs. (83.94±7.46) mmHg in the two groups. Z and P values were respectively -3.843, -5.666, and 0.000, 0.000.There was significant difference between the experimental group and control group. Conclusion The education and training applying character color feature in patients with peri-toneal dialysis can mobilize the initiative of self management, improve the patients' self- care competency and self-efficacy, enhance patients′compliance, that can improve the effect of peritoneal dialysis.