健康教育对血液透析患者护理效果的影响  

Effect of health education on nursing intervention mode in hemodialysis patients

作　　者：赵思思[1] 王晓丹[1] 黄丽君[1] 郑茜茜[1] 曹云云[1] 梅晓蓉[1] 

机构地区：[1]温州医科大学附属第一医院血透室,浙江省温州325000

出　　处：《中国基层医药》2016年第12期1840-1843,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的对血液透析患者实施健康教育护理干预模式，并对其临床护理效果进行研究与分析。方法选取血液透析患者112例，采用数字表法随机分为观察组与对照组，每组均56例。对照组患者予以常规护理模式，观察组患者在常规护理基础上应用健康教育护理干预模式。观察两组患者护理前后的血压情况、内瘘堵塞、留置导管引起的感染发生率及血磷水平达标率，比较两组护理效果。结果护理干预后，观察组舒张压（76．17±7．02）mmHg、收缩压（131．17±8．77）mmHg，均明显优于对照组[舒张压（90．91±8．44）mmHg、收缩压（141．29±7．08）mmHg]，两组差异均有统计学意义（t ＝10．49、13．75，均 P ＜0．05）；观察组内瘘堵塞发生率为1．79％、留置导管引起的感染发生率为1．79％，均明显低于对照组[内瘘堵塞发生率28．57％、留置导管引起的感染发生率26．79％]，两组差异均有统计学意义（χ^2＝8．22、9．17，均 P ＜0．05）；观察组血磷水平达标率为60．71％，明显高于对照组的33．93％，两组差异有统计学意义（χ^2＝11．45，P ＜0．05）。结论对血液透析患者采用健康教育护理干预模式后，并发症发生率明显降低，各项指标均有显著改善，强化了患者对疾病健康知识的认识度，减少了医患纠纷的发生。Objective To carry out health education nursing intervention mode for patients with hemodialy-sis,and to study and analyze the clinical nursing effect.Methods 112 cases of hemodialysis patients were randomlydivided into the observation group and the control group according to random number table,56 cases in each group. The patients of the control group were given conventional nursing model,and the patients of the observation group were given nursing intervention model on the basis of health education.The blood pressure,the internal fistula blockage, indwelling catheter caused by the incidence of infection and blood phosphorus level of compliance rate were compared in the two groups.Results After nursing intervention,diastolic blood pressure（76.17 ±7.02）mmHg and systolic blood pressure （131.17 ±8.77）mmHg of the observation group were significantly better than the control group [（90.91 ±8.44）mmHg,（141.29 ±7.08）mmHg],there were statistically significant differences（t =10.49,13.75, all P 〈0.05）.The incidence rate of fistula obstruction （1.79%）and the catheter infection incidence rate（1.79%） of the observation group were significantly lower than the control group （28.57%,26.79%）,there were statistically significant differences（χ^2 =8.22,9.17,all P 〈0.05）.The blood phosphorus level standard rate（60.71%）of the observation group was significantly higher than the control group（33.93%）,there was statistically significant differ-ence （χ^2 =11.45,P 〈0.05）.Conclusion The incidence of complications is significantly decreased after nursing intervention of health education in patients with hemodialysis,and the indexes are improved significantly,and there is no obvious conflict of interest.

关 键 词：血液透析 护理 健康教育 

分 类 号：R473.5[医药卫生—护理学]