强化健康教育模式在维持性血液透析高钾患者中的应用  

Effects of intensified health education program on maintenance hemodialysis patients with hyperkalaemia

作　　者：白英[1] 赵恩路[1] 王洪霞[1] 

机构地区：[1]中国中医科学院西苑医院肾病科,北京100091

出　　处：《现代临床护理》2012年第2期63-65,共3页Modern Clinical Nursing

摘　　要：目的探讨强化健康教育模式在维持性血液透析(maintenance hemodialysis,MHD)高钾患者中的应用效果。方法对42例MHD患者进行为期2个月强化健康教育,包括集体授课、个性化指导、讨论、发放资料、饮食记录。比较健康教育前后患者透析前血钾及食物中钾的摄入情况。结果教育前患者血钾为(5.46±0.85)mmol/L,饮食摄入钾为(1337.07±664.38)mg/d,有24例(57.14%)患者血钾升高;教育后患者血钾为(5.08±0.57)mmol/L,饮食摄入钾为(896.33±412.02)mg/d,有11例(26.19%)患者血钾升高,教育前后比较,均P<0.05,差异具有统计学意义。结论强化健康教育能有效控制MHD患者饮食中钾的摄入量,从而降低患者透析前血钾水平。Objective To explore the effects of intensified health education program on maintenance hemodialysis （MHD） patients with hyperkalaemia. Methods 42 MHD patients were given intensified health education for two months, including lectures, individual instructions, group discussions, handouts for self-study and diet recording. Results The blood kalium level in the 42 patients was （5.46 ± 0.85）mmol/L, the dietary kalium intake was （1 337.07 ± 664.38）mg/d, the blood kalium went up in 24 patients before education. After education, the blood kalium was （5.08 ± 0.57）mmol/L, dietary kalium intake was （896.33 ± 412.02）mg/d, and the blood kalium in ll patients went up. The differences in the blood kalium level and dietary kalium intake between pre- and post-education were significant （all P 〈 0.05）. Conclusion Intensified health education may be effective for comain dietary kalium intake and thus lower the blood kalium level before maintenance hemodialysis.

关 键 词：强化健康教育 维持性血液透析 高钾血症 

分 类 号：R473.5[医药卫生—护理学]