强化健康教育对维持性血液透析患者护理质量的影响分析  

Effect analysis of intensive health education on nursing quality for maintenance hemodialysis patients

作　　者：谢玉秋[1] 

机构地区：[1]广州医科大学附属第一医院血液净化中心,广东广州510230

出　　处：《中国当代医药》2017年第4期188-190,193,共4页China Modern Medicine

摘　　要：目的探讨强化健康教育对维持性血液透析患者护理质量的影响。方法将2015年6月~2016年6月在我院肾内科治疗的140例维持性血液透析患者按照不同的护理方法随机分为两组,每组70例。对照组采用常规护理的方法,观察组采用强化健康教育的方法,比较两组患者的症状控制率、不良反应发生率、健康知识掌握情况以及生活质量。结果观察组血压控制率、透析充分率、血磷达标率明显优于对照组,差异有统计学意义(P<0.05)。观察组留置导管感染率、内瘘堵塞率、非透析时间急诊就诊率、高血钾危急值发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组疾病知识、饮食知识、药物知识、自我护理知识评分明显优于对照组,差异有统计学意义(P<0.05)。观察组生理功能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康等SF-36量表评分明显优于对照组,差异有统计学意义(P<0.05)。结论强化健康教育对维持性血液透析患者护理质量的提高有显著作用,能够改善症状控制率,降低并发症发生率,增强健康知识的掌握程度,提升生活质量。Objective To explore the effect of intensive health education on the nursing quality for maintenance hemodialysis patients（MHP）.Methods Altogether 140 MHP who were treated in Department of Nephrology in our hospital from June 2015 to June 2016 were randomly divided into two groups according to the different methods of nursing,each group with 70 cases.Control group received routine nursing,while observation group were applied with intensive health education.The symptom control rate,incidence of adverse reactions,mastery of health knowledge and quality of life of two groups were compared.Results The blood pressure control rate,dialysis adequacy rate and blood phosphorus rate of the observation group was significantly better than that of the control group,with statistically significant difference（P〈0.05）.The indwelling catheter infection rate,fistula blockage rate and non-dialysis time emergency treatment rate and the incidence of hyperkalemia critical value of the observation group was significantly lower than that of the control group,with statistically significant difference（P〈0.05）.The disease knowledge score,dietary knowledge score,drug knowledge score and self-care knowledge score of the observation group was significantly better than that of the control group,with statistically significant difference（P〈0.05）;SF-36（the MOS Item Short From Health Survey） scores of the observation group（including the physiological function,physiological role,body pain,general health,vitality,social functions,emotional function and mental health） was significantly better than that of the control group,with statistically significant difference（P〈0.05）.Conclusion Intensive health education plays a significant role in increasing the nursing quality for MHP,which can improve the symptom control rate and patients′ quality of life,reduce the incidence of complications and enhance the mastery of health knowledge,improve the quality of life.

关 键 词：维持性血液透析 强化健康教育 护理质量 

分 类 号：R473.5[医药卫生—护理学]