同伴教育对维持性血液透析患者透析效果的影响  

Impact of Peer Education on the Dialysis Effect of Maintenance Hemodialysis Patients

作　　者：曹永桂 曾伟杰[2] 刘迅[1] 陈凤华[1] 梁曼靖 袁远 

机构地区：[1]中山大学附属第三医院血液净化中心,广东广州510630 [2]中国人民解放军第四二一医院心血管内科,广东广州510318

出　　处：《临床医学工程》2017年第12期1781-1782,共2页Clinical Medicine & Engineering

摘　　要：目的探讨同伴教育对维持性血液透析患者透析效果的影响。方法选取接受维持性血液透析的患者120例为研究对象,随机分为实验组和对照组各60例。所有患者均接受常规护理,在此基础上,实验组患者接受微信群分享形式的同伴教育。采用健康调查简表(SF-36)评价患者的生活质量,比较两组患者透析后的临床检验指标及生活质量。结果透析后,实验组患者的血钾、血磷、全段甲状旁腺素水平均显著低于对照组,尿素清除率、血清白蛋白水平均显著高于对照组,差异均有统计学意义(P<0.05)。除躯体疼痛外,实验组患者的SF-36各维度评分均显著高于对照组,差异有统计学意义(P<0.05)。结论同伴教育能有效提醒患者通过可控因素来规避维持性血液透析带来的风险。Objective To explore the impact of peer education on the dialysis effect of maintenance hemodialysis patients. Methods A total of 120 cases of patients who received maintenance hemodialysis were selected as research objects. All cases were randomly divided into the experimental group and the control group, with 60 cases in each group. All patients received conventional nursing; in addition, the experimental group received peer education through WeChat sharing group. SF-36 scale was used to evaluate patients＇ quality of life, and patients＇ clinical test indicators after dialysis and quality of life were compared between two groups. Results After dialysis, the levels of blood potassium, phosphorus, and whole parathyroid hormone of experimental group were significantly lower than those of control group, and the urea clearance rate and serum albumin level were significantly higher than those of control group （P〈0.05）. Except for bodily pain, the scores of other dimensions of SF-36 of experimental group were all significantly higher than those of control group （P 〈0.05）. Conclusions Peer education can effectively remind patients of avoiding the risks of maintenance hemodialysis through controllable factors.

关 键 词：血液透析 同伴教育 透析效果 生活质量 

分 类 号：R473.5[医药卫生—护理学]