个体及互动式集体健康教育对维持性血液透析患者高钾血症的影响  

Effects of individual health education combined with collective health education for maintenance hemodialysis patients with hyperkalemia

作　　者：王饶萍[1] 叶晓青[1] 唐春苑[1] 郑智华[1] 

机构地区：[1]中山大学附属第一医院肾内科血液净化中心,广东广州510080

出　　处：《现代临床护理》2016年第5期64-67,共4页Modern Clinical Nursing

基　　金：广东省医学科研基金项目;项目编号为A2016127

摘　　要：目的探讨个体及互动式集体健康教育对维持性血液透析患者高钾血症的影响。方法将2013年3月~2014年3月30例行维持性血液透析高钾血症患者设为对照组,由血液透析中心护士按照预先制订的周计划进行个体化健康教育;将2014年4月~2015年4月30例行维持性血液透析高钾血症患者设为试验组,由血液透析中心护士按照预先制订的周计划进行个体及互动式集体健康教育,每周1次,共6周。了解和比较干预前后两组患者血清钾浓度的差异。结果干预后,试验组患者血清钾浓度低于对照组和干预前,差异均有统计学意义（P〈0.001）。结论个体及互动式集体健康教育改变传统灌输式单向交流方式向双向交流方式转化,使患者自觉改变不正确的饮食行为,进而降低维持性血液透析患者血清钾水平。Objective To investigate the effects of individual and collective health education on hemodialysis patients with hyperkalemia. Methods Thirty hyperkalemia patients treated with maintenance hemodialysis from Mar. 2013 to Mar. 2014 were set as the control group, in which the patients were given pre-established individual health education by the hemodialysis nurse weekly. Another 30 patients of the same sort, as the experiment group, were treated with individual health education combined with collective health education weekly from Apr. 2014 to Apr. 2015. The two groups were compared in term of serum potassium before and after intervention. Result Serum potassium of the experiment group after the intervention were significantly lower than the control group and the experiment group after the intervention （P〈0.001）. Conclusion Individual health education combined with collective health education can change traditional indoctrination one-way communication to the two-way communication conversion , make the patients consciously change their incorrect dietary behaviors, and reduce the serum potassium levels in the hemodialysis patients with hyperkalemia.

关 键 词：维持性血液透析 高钾血症 健康教育 

分 类 号：R473.5[医药卫生—护理学]