目标化健康教育路径对维持性血液透析患者透析充分性的影响  

Impact of targeted health education path on the dialysis adequacy of patients with maintenance hemodialysis

作　　者：尚勤[1] 胡登科[1] 李静静[1] 

机构地区：[1]江苏省连云港市第四人民医院血液净化中心,江苏连云港222000

出　　处：《中国医药导报》2017年第7期173-176,共4页China Medical Herald

基　　金：江苏省连云港市卫生计生科技项目(201626);南京医科大学康达科研基金项目(NYKDKJ2015034)

摘　　要：目的探讨目标化健康教育路径对维持性血液透析患者透析充分性的影响。方法选择2015年6月~2016年6月于江苏省连云港市第四人民医院血液净化中心行血液透析患者60例,根据入院先后顺序分为对照组和实验组,各30例。对照组采用常规健康宣教方案,实验组采用为期3个月的目标化健康教育路径,比较两组患者健康教育效果、透析充分性及患者护理满意度。结果实验组干预后血液透析知识评分显著高于干预前及对照组,差异有高度统计学意义(P<0.01)。实验组干预后尿素下降率及尿素清除指数均明显高于干预前及对照组,差异有统计学意义(P<0.05或P<0.01)。实验组干预后护理满意度评分显著高于干预前及对照组,差异有高度统计学意义(P<0.01)。结论目标化健康教育路径可提高健康宣教的效率,增加维持性血液透析患者健康知识知晓情况,有效提高患者的透析充分性及患者护理满意度,值得临床推广应用。Objective To explore the effect of targeted health education path on dialysis adequacy in patients with maintenance hemudialysis. Methods From June 2015 to June 2016, 60 patients with maintenance hemodialysis of blood purification center in the Fourth People＇s Hospital of Lianyungang City, Jiangsu Province were selected and divided into control group and expei＇imental group according to hospitalized sequence. The conventional health education plan was used in control group, and a period of 3 months targeted health education path was applied in experimental group. The effect of health education, dialysis adequacy and the nursing satisfaction of patients between two groups were compared. Results After intervention, knowledge score of hemodialysis in experimental group was significantly higher than before intervention and control group, with statistical difference （P 〈 0.01）, After intervention, urea reduction rate and urea clearance index in experimental group were significantly higher than before intervention and control group, with statistical differences （P 〈 0.05 or P 〈 0.01）. After intervention, nursing satisfaction score in experimental group was significantly higher than before intervention and control group, with statistical difference （P 〈 0.01）. Conclusion Targeted health education path can improve the effect of health education, increase the health knowledge level in patients with maintenance hemodialysis, and effectively improve dialysis adequacy and the nursing satisfaction of patients. It is worthy of clinical promotion and application.

关 键 词：目标化健康教育路径 血液透析 透析充分性 

分 类 号：R473.5[医药卫生—护理学]