自我管理教育对腹膜透析病人健康状况的影响  

Applying self-management education to improve the health status of patients following peritoneal dialysis

作　　者：苏春燕[1] 郑修霞[2] 马艳秋[1] 聂建东[1] 孙玲华[1] 张枫[1] 鲁新红[1] 汪涛[1] 

机构地区：[1]北京大学第三医院肾内科,100083 [2]北京大学护理学院

出　　处：《中华护理杂志》2008年第1期8-11,共4页Chinese Journal of Nursing

基　　金：院临床重点项目,项目编号:ylza06-5-27

摘　　要：目的对26例腹膜透析病人进行为期6个月的自我管理教育,旨在改善他们的健康状况。方法对26例规律腹膜透析超过6个月,病情稳定的病人进行为期6个月的自我管理教育,比较教育前后病人透析充分性、容量状况、营养状况、康复状况、自我管理能力和自我效能水平的变化情况。结果教育期间,病人的尿量逐渐减少,残肾功能下降,透析充分性指标没有变化,但容量状况改善,营养状况没有恶化,康复状况改善,自我管理能力和自我效能水平提高。结论自我管理教育可以提高腹膜透析病人的自我管理能力和自我效能,从而改善病人的整体健康状况。Objective To analyze the effect of self-management education for continuous ambulatory peritoneal dialysis （PD） patients on their healthy status. Methods Twenty-six patients who had received peritoneal dialysis for at least 6 months and whose condition were stable in the past 6 months were enrolled in this study. They were taught the knowledge about PD and the methods to solve the problems in daily dialysis life. In order to improve patients＇ ability of self-management, we used various education styles, such as group discussion, patients＇ team activities and individual instructions. After 6 months＇ education, we compared the patients＇ volume status, adequacy of dialysis, nutritional status, quality of life, rehabilitation status, self-management capacity and self-efficacy levels. Results After 6 months, the patients＇ urine volume and residual renal function decreased, the adequacy of dialysis （kt/v and Ccr） was not changed. But the volume status, quality of life and rehabilitation status were improved, and the nutritional status was not deteriorated. Meanwhile, the patients＇ self-management capacity and self efficacy level were increased. Conclusions Self-management education can improve continuous ambulatory peritoneal dialysis patients＇self-management capacity and self efficacy level, and accordingly improve their holistic healthy status.

关 键 词：腹膜透析 持续不卧床 病人教育 生活质量 

分 类 号：R473.5[医药卫生—护理学]