预警脸谱配合健康教育在维持性血液透析患者体重管理中的应用  

Application of early warning face pattern of weight combined with health education in weight management of maintenance hemodialysis patients

作　　者：徐巍[1] 王静[1] 赵丽敏[1] 许雯[1] 朱晓萍[1] 

机构地区：[1]同济大学附属第十人民医院,上海200072

出　　处：《现代临床护理》2017年第1期34-38,共5页Modern Clinical Nursing

摘　　要：目的探讨预警脸谱配合健康教育在维持性血液透析患者体重管理中的应用效果。方法采用类实验研究方法,选择预警脸谱配合健康教育前(2014年7月至12月)进行血液透析的223例患者(共透析17 617例次)设为对照组,选择预警脸谱配合健康教育后(2015年1月至6月)配合进行血液透析的223例患者(共透析17 281例次)设为实验组,对照组患者给予常规健康教育方法,实验组采用预警脸谱配合健康教育方法。比较两组血液透析患者每次透析间期体质量增长(inter dialytic weight gain,IDWG)、IDWG/干体重比值(inter dialytic weight gain/dry weight ratio,IWGR%)指标及血液透析过程并发症发生率情况。结果两组患者IDWG、IWGR%、血液透析过程并发症发生率情况比较,均P<0.01,差异具有统计学意义,实验组IDWG、IWGR%指标明显优于对照组,并发症发生率明显低于对照组。结论预警脸谱配合健康教育能有效控制患者透析间期IDWG,降低透析相关并发症的发生率。Objective To investigate the effect of early warning face pattern of weight combined with health education in weight management of maintenance hemodialysis patients. Methods Toally 223 maintenance hemodialysis patients hospitalized in the hospital from July to December 2014（17,617 cases of hemodialysis） were set as the control group and 223 maintenance hemodialysis patients from January to June 2015（17,281 cases of hemodialysis） were set as the experiment group. The control group was given routine health education and the experiment group was given health education and early warning face pattern of weight. The two groups were compared in terms of the ratio between interdialytic weight gain（IDWG） and interdialytic dry weight ratio（IWGR） as well as the hemodialysis-related complications. Results The IDWG/IWGR ratio in the experiment group was significantly better than that of the control group（P〈0.05）.The incidence of hemodialysis-related complications were significantly lower than that of control group. Conclusion Early warning face pattern of weight used in health education can effectively control the patient＇s interdialytic weight gain（IDWG） and reduce the hemodialysis-related complications.

关 键 词：维持性血液透析 体重 预警脸谱 健康教育 

分 类 号：R473.5[医药卫生—护理学]