改良健康教育模式对维持性血液透析患者血压的影响  

Effect of Modified Health Education Model on Blood Pressure in Maintenance Dialysis Patients

作　　者：吴艳青[1] 邢伟[1] 张立国[1] 

机构地区：[1]承德医学院附属医院肾内血液透析室,河北承德067000

出　　处：《河北医学》2012年第12期1828-1831,共4页Hebei Medicine

摘　　要：目的:探讨适合维持性血液透析高血压患者的健康教育方式。方法:将58例患者分为两组,实验组应用临床路径的方法进行健康教育,对照组应用传统健康教育方法,完成健康教育后比较两组患者的《维持性血液透析患者血液透析相关知识和对护理工作满意度调查表》的得分及血压情况。结果:实验组患者的问卷得分、舒张压及平均动脉压与对照组比较有统计学差异(P<0.01)。结论:改用临床路径对血透患者进行健康教育,增强了患者对高血压知识的了解,改变了其不良行为,缓解其心理压力,提高治疗依从性,从而使患者血压会更接近或达到正常的血压范围。Objective： To investigate the rational health education model on maintenance dialysis pa- tients with hypertension. Method： 58 MHD patients were enrolled. The patients were divided into two groups. The experimental group underwent the health education with clinical pathway control group underwent the conventional health education. After the completion of health education, the score assessed by ＂questionnaire for dialysis-related knowledge and care job satisfaction in MHD patients＂ and the level of blood pressure were compared. Result： There were significant differences between the experimental group and control group on questionnaire score, diastolic and mean arterial pressure （ P 〈 0.01 }. Conclusion： Healthy education on MHD patients who underwent modified clinical pathway, enhance the knowledge of pa- tients about hypertension, change the unhealthy behavior, ease the psychological pressure, improve the compliance. So that blood pressure of MHD patients will be closer to or achive normal range.

关 键 词：血液透析 血压 健康教育 临床路径 护理 

分 类 号：R473.5[医药卫生—护理学]