三段式健康教育模式对维持性血液透析病人知信行的影响  

Influence of three stage of health education model on KAP of patients undergoing maintenance hemodialysis

作　　者：代丽君[1] 赖静[1] 

机构地区：[1]四川省成都市龙泉驿区第一人民医院

出　　处：《护理研究（上旬版）》2015年第2期449-453,共5页Chinese Nursing Researsh

基　　金：四川省卫生厅科研课题;编号:120507

摘　　要：[目的]了解维持性血液透析病人知信行现况,建立三段式(门诊、住院、家庭)血液透析教育模式并探讨其对社区维持性血液透析病人知信行的影响。[方法]采用完全随机抽样方法抽取70例维持性血液透析病人进行知信行情况调查,采用三段式血液透析健康教育模式进行连续干预,6个月后,再次对病人进行知信行问卷调查,比较三段式健康教育前后病人知信行的变化情况。[结果]最终收回有效问卷61份,病人的知信行情况普遍较差;健康教育前后疾病知识平均分比较差异有统计学意义(P<0.05);"信"调查"你认为经过自己努力可以提高生活质量"健康教育前后比较差异有统计学意义(P<0.05)。[结论]三段式健康教育对改善病人"知信行"状况有较大帮助,但未完全改善,尤其是健康行为改变尤为困难。Objective： To know about the status quo of KAP （knowledge,attitude,practice） of patients accepting maintenance hemodialysis,so as to set up three stages of health education model of hemodialysis including out- patient,inpatient and at home. And to probe into the influence of the model on the KAP of patients accepting maintenance hemodialysis. Methods：A total of 70 cases of patients with maintenance hemodialysis were selected by random sampling method and were investigated on the KAP of patients. The three stage of hemodialysis health education model was used for continuous intervention, 6 months later, KAP questionnaire was used to survey them again. The KAP changes of patients were compared before and after three stage of health educa- tion. Results：The 61 effective questionnaires were taken back ultimately. Patient＇s KAP is generally poor before and after health education. There was statistically significant difference in disease knowledge average score（P〈 0.05）. There was statistically significant difference in ＂belief＂ investigation ＂you think through their own ef- forts to improve the quality of life of＂ before and after the health education（P〈0.05）. Conclusion.Three stages of health education model help a lot for improving patients＇ KAP, but not completely improved, especially on health behaviors changing.

关 键 词：维持性血液透析 知信行 健康教育 影响 

分 类 号：R473.5[医药卫生—护理学]