授权教育对提高血液透析患者液体摄入依从性的效果  

Effect of Authorization Education in Improving the Fluid Intake Compliance of Patients Underwent Hematodialysis

作　　者：吴茵[1] 钮美娥[1] 张永红[2] 

机构地区：[1]苏州大学附属第一医院护理部,江苏苏州215006 [2]苏州大学公共卫生学院,江苏苏州215006

出　　处：《解放军护理杂志》2015年第22期1-5,共5页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨授权教育对血液透析患者液体摄入依从性的效果。方法采取便利取样法,选取苏州市某医院血液透析中心收治的90例患者为研究对象,按透析治疗时间分为观察组和对照组,观察组给予基于授权理论的液体摄入依从性健康教育,对照组患者给予常规健康教育。比较两组患者干预后6个月内的液体摄入依从性、急性并发症发生率。结果观察组在干预后6个月,液体摄入依从性与对照组相比明显提高（P〈0.05）。干预后1-3个月两组间急性低血压发生率差异存在统计学意义（P〈0.05）,急性高血压发生率差异无统计学意义（P〉0.05）;干预后4-6个月急性高血压、急性低血压发生率差异均明显低于对照组（P〈0.05）。结论授权教育能帮助血液透析患者提高液体摄入依从性,降低急性并发症发生率。Objective To discuss the effect of authorization education in improving the fluid intake compliance of patients underwent hematodialysis.Methods By convenience sampling,90 cases were selected and divided into observation group and control group according to their hematodialysis time.The observation group received fluid intake compliance education based on authorization theory,while the control group received conventional education.The fluid intake compliance,incidence rate of acute complication after 6 months of intervention was compared.Results After 6months of intervention,the fluid intake compliance in observation group was significantly improved than control group（P〈0.05）.There was statistical significance of the incidence rate of acute hypotension after 1-3 moths of intervention found between two groups（P〈0.05）,while no statistical significance of the incidence of acute hypertension showed in two groups（P〉0.05）.After 4-6 months of intervention,the incidence rate of acute hypertension and acute hypotension was significantly lower than that of control group（P〈0.05）.Conclusion Authorization education can help improve the fluid intake compliance and reduce the incidence rate of acute complications.

关 键 词：授权教育 血液透析 液体摄入 依从性 

分 类 号：R459.5[医药卫生—治疗学]