首透负责制健康教育在血液透析患者中的应用  

作　　者：王意清[1] 钟海英[1] 

机构地区：[1]湛江中心人民医院血液净化中心,广东湛江524037

出　　处：《现代临床护理》2009年第5期18-20,13,共4页Modern Clinical Nursing

摘　　要：目的探讨首透负责制健康教育在血液透析患者中的应用效果。方法将首次透析的肾脏疾病患者随机分为实验组和对照组各50例,实验组实施首透负责制健康教育法,即由护士全程负责患者的健康教育,包括住院基础教育–出院持续治疗教育–门诊维持透析教育;对照组实施常规健康教育。比较两组患者健康教育知识知晓率和患者满意度。结果首透负责制患者健康教育知识知晓率和满意度均较对照组高,两组比较,差异具有统计学意义(均P<0.01或P<0.05)。结论首透负责制健康教育模式可明显提高血液透析患者健康教育效果及患者的满意度,值得在临床推广应用。Objective To explore the effect of first-hemodialysis-responsibility health education on hemodialysis patients. Methods The patients who had hemodialysis for the first time were randomly divided into the experiment group and the control group. First-hemodialysis-responsibility health education was carried out in the experiment group. The nurse who implemented the first hemodialysis was in charge of health education for the patients in the whole course, including basic education of hospitalization, outpatient hemodialysis education and continuous out-of hospital treatment education. Routine health education was carried out in the control group. Patients＂ awareness of health education and their satisfaction degree were compared. Result Patients＇ awareness rate of health education and their satisfaction degree of the experiment group were better than that of control group, and the differences were signifieant（P 〈 0.01 or P 〈 0.05）. Conclusion The model of first- hemodialysis-responsibility health education for hemodialysis patients improved health education effectiveness and patients＂ satisfaction degree obviously.

关 键 词：首因效应 负责制 健康教育 血液透析 自我管理 

分 类 号：R473.5[医药卫生—护理学]