授权教育对维持性血液透析患者饮食依从性及营养状况的影响  

Effect of empowerment education on diet compliance and nutritional status of maintenance hemodialysis patients

作　　者：杜爱燕[1,2] 林征[1,3] 

机构地区：[1]南京医科大学护理学院,江苏南京210009 [2]无锡市人民医院 [3]南京医科大学第一附属医院护理部

出　　处：《护理学杂志》2015年第17期69-71,105,共4页

基　　金：江苏省重点学科建设项目"护理学"(JX10617801)

摘　　要：目的探讨授权教育对维持性血液透析患者饮食依从性及营养状况的改善作用。方法将无锡市某三甲医院维持性血液透析患者80例根据透析时间分为观察组和对照组各40例,对照组采用常规饮食教育方式,由经过培训的血液净化中心护士按照科室教育计划对透析患者进行饮食相关知识的教育;观察组采用授权教育,由研究团队成员完成,整个实施过程按照授权教育理论的明确问题、表达感情、设立目标、制订计划、评价结果5个步骤进行。结果干预3个月后,观察组饮食依从态度、饮食依从行为得分及白蛋白水平显著高于对照组(均P<0.05);营养状况分布显著优于对照组(P<0.05)。结论授权教育有助于提高维持性血液透析患者的饮食依从性,改善其营养状况。Objective To explore the empowerment education on diet compliance and nutritional status of the maintenance hemodialysis patients.Methods Totally 80 maintenance hemodialysis patients were divided into an experimental group and a control group of40 cases.The control group was provided with routine diet education given by nurses from the blood purification center,while the experimental group was given empowerment education carried out by the research team,and the whole implementation process consisted of clarification of problems,feeling expressions,goals setting,planning and evaluation.Results After 3months of intervention,the dietary compliance attitudes and practice,and albumin level of the experimental group were significantly higher than the control group（P〈0.05 for all）.Moreover,the distribution of nutrition levels of the experimental group was significantly better than that of the control group（P〈0.05）.Conclusion The empowerment education is helpful to improve the diet compliance and their level of nutritional status in hemodialysis patients.

关 键 词：维持性血液透析 授权教育 健康教育 饮食依从性 营养状况 营养护理 

分 类 号：R473.5[医药卫生—护理学]