临床健康教育路径在慢性肾脏病合并高血压患者治疗中的应用  

Application of clinical health education pathway in the treatment of patients with chronic kidney disease complicated with hypertension

作　　者：毛晓清[1] 黄秋鹏[1] 谢席胜[1] 夏梦迪[1] 王宝福[1] 庞晴[1] 何霁[1] 

机构地区：[1]川北医学院第二临床医学院.南充市中心医院,四川南充637000

出　　处：《西部医学》2018年第2期295-298,共4页Medical Journal of West China

基　　金：四川省教育厅课题(16ZA0240)

摘　　要：目的探讨临床健康教育路径在慢性肾脏病合并高血压(CKD)患者治疗中的应用效果。方法按入院先后顺序,将407例慢性肾脏病患者随机分为观察组200例和对照组207例。对照组实施传统的健康教育,观察组实施临床健康教育路径,比较两组患者高血压达标情况、疾病相关知识掌握度、遵医行为(如高血压知识的掌握率、规律服药,合理饮食,戒烟戒酒及适当运动)、并发症的发生、住院体验及满意度、住院时间及住院费用等,对相关指标进行统计分析。结果观察组高血压达标情况,高血压知识的掌握率、规律服药,合理饮食,戒烟戒酒及适当运动的比率均高于对照组,差异有统计学意义(P<0.05);观察组患者住院体验及满意度高于对照组(P<0.05);观察组住院时间短于对照组(P<0.05),住院费用也少于对照组,差异均有统计学意义(P﹤0.05)。结论实施临床健康教育路径,有利于提高慢性肾脏病合并高血压患者对高血压知识的掌握,改善遵医行为,使患者自我管理疾病的能力增强。能有效缩短住院时间,减少住院费用,有助于提升患者就医体验及满意度,对延缓CKD进展,改善患者生存质量,更好地回归社会具有重要意义。Objective To explore the effect of clinical health education pathway in the treatment of patients with chronic kidney disease complicated with hypertension. Methods 407 patients with chronic kidney disease were randomly divided into observation group （n=200） and control group （n=207） according to the order of admission. In the control group, the traditional health education was carried out. The observation group carried out the clinical health education path. The knowledge of the disease-related knowledge, the medical treatment （such as the control of hypertension knowledge, regular medication, reasonable diet, Alcohol and appropriate exercise）, the occurrence of complications, hospital experience and satisfaction and length of stay and hospital costs were analyzed. Results The hospitalization experience and satisfaction were 100.0% in the observation group, which was higher than that in the control group （90.3%）. The hospitalization cost of the observation group was less than that of the control group （P〈0.05）. Conclusion The implementation of clinical health education pathways is conducive to improve the knowledge of hypertension in patients with chronic kidney disease and hypertension, improve the compliance behavior, and enhancing the ability of patients to manage their own diseases, shorten the hospital stay, reduce hospital costs, help to improve patient experience and satisfaction, delay the progress of CKD and improve the quality of life of patients.

关 键 词：临床健康教育路径 慢性肾脏病 高血压 护理 

分 类 号：R544.1[医药卫生—心血管疾病]