基于依从性曲线变化规律的阶段性健康教育对维持性血液透析患者的影响  

Effect of Phased Health Education Based on the Change Rule of Compliance Curve on Maintenance Hemodialysis Patients

作　　者：曾欣[1] 黎吉锋 陈汝满 林燕雨 ZENG Xin;LI Jifeng;CHEN Ruman;LIN Yanyu(Hainan Provincial People’s Hospital,Haikou 570311,China;不详)

机构地区：[1]海南省人民医院(海南医学院附属海南医院),海南海口570311

出　　处：《中外医学研究》2022年第28期102-106,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：海南省卫生健康行业项目(21A200204)。

摘　　要：目的:探讨基于依从性曲线变化规律的阶段性健康教育对维持性血液透析患者的影响。方法:选取2019年1月-2020年12月海南省人民医院维持性血液透析患者116例。根据时间将其分为对照组(2019年1-12月)和观察组(2020年1-12月),各58例。两组入院后建立动静脉内瘘,并接受规律性血液透析治疗,对照组血液透析期间给予常规健康指导,观察组血液透析期间给予基于依从性曲线变化规律的阶段性健康教育。比较两组干预前后血液透析认知水平及治疗依从性。结果:干预后,观察组血液透析基本认知、透析并发症预防、合理饮食、钙磷控制、血压控制、体重控制、遵医用药、日常生活注意事项、心理调节方式评分及总分均高于对照组(P<0.05)。干预后,观察组饮食依从、液体摄入依从、血管通路维护依从、遵医用药依从、日常生活事项依从、规律运动依从、定期门诊随访依从评分均高于对照组(P<0.05)。结论:基于依从性曲线变化规律的阶段性健康教育能有效提高维持性血液透析患者认知水平和治疗依从性。Objective:To explore the effect of phased health education based on the change rule of compliance curve on maintenance hemodialysis patients.Method:A total of 116 patients with maintenance hemodialysis in Hainan Provincial People’s Hospital from January 2019 to December 2020 were selected.According to the time,they were divided into control group (from January to December 2019) and observation group (from January to December 2020),with 58 cases in each group.The two groups established arteriovenous fistula after admission and received regular hemodialysis treatment.The control group was given routine health guidance during hemodialysis,and the observation group was given phased health education based on the change rule of compliance curve during hemodialysis.The hemodialysis cognitive level and treatment compliance before and after intervention were compared between the two groups.Result:After the intervention,the scores of basic cognition of hemodialysis,prevention of dialysis complications,reasonable diet,calcium and phosphorus control,blood pressure control,weight control,compliance with medical drugs,daily life precautions,psychological adjustment method and total score of the observation group were higher than those of the control group (P<0.05).After the intervention,the scores of diet compliance,fluid intake compliance,vascular access maintenance compliance,compliance with medical drugs compliance,daily life items compliance,regular exercise compliance and regular outpatient follow-up compliance in the observation group were higher than those in the control group (P<0.05).Conclusion:Phased health education based on the change rule of compliance curve can effectively improve the cognitive level and treatment compliance of maintenance hemodialysis patients.

关 键 词：依从性曲线 健康教育 维持性血液透析 疾病知识 治疗依从性 

分 类 号：R473.5[医药卫生—护理学]