健康信念模式教育对腹膜透析患者容量相关依从性的影响  

The effects of health belief model education on compliance about volume status in peritoneal dialysis patients

作　　者：易春燕[1] 周飞宇[1] 关锦美[1] 谢文[2] 林建雄[1] 

机构地区：[1]中山大学附属第一医院肾内科,广州510080 [2]中山大学附属第一医院护理部,广州510080

出　　处：《中华现代护理杂志》2008年第27期2848-2850,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨健康信念模式教育对腹膜透析患者容量相关依从性的影响。方法运用健康信念模式对41例腹膜透析门诊随访患者进行容量控制相关教育，分析患者容量状况、依从性及认知情况的变化趋势。结果经过健康信念模式教育，患者的总液体清除量和KT／V显著下降，但容量状况无统计学意义（P〉0．05）；患者在透析处方、服药方面依从性保持较好水平均〉80％，水盐摄入方面的依从性有统计学意义（P〈0．05）；患者对各方面的认知均有显著提高（P〈0．05）。结论应用健康信念模式教育，有利于提高腹膜透析患者容量相关依从性，促进其达到并维持容量平衡状态。Objective To explore the effects of health belief model education on compliance about volume status in peritoneal dialysis patients. Methods 41 peritoneal dialysis patients who were followed-up regularly accepted health belief model education about volume control. Their volume status, compliance and cognition were analyzed. Results After the education, the patients＇ total fluids cleaning and KT/V decreased markedly, but their volume status had no difference （ P 〉 0. 05 ） ; Their compliances with dialysis prescription and taking medicine remained good （ 〉 80% ）, while the compliances in salt and water diet had statistical meaning （P 〈 0. 05）. And their cognitions in every aspect had obvious improvement （ P 〈 0. 05）. Conclusions Health belief model education could improve peritoneal dialysis patients＇ compliance about volume status, thus improving their volume status.

关 键 词：健康信念模式 腹膜透析 容量 依从 

分 类 号：R473.5[医药卫生—护理学]