ADOPT模式健康教育在血液透析患者中的应用效果  

Application effect of ADOPT model health education in hemodialysis patients

作　　者：姚晨 陈月爱 YAO Chen;CHEN Yueai(Blood Purification Center,the Second Affiliated Hospital of Wannan Medical College,Anhui Province,Wuhu241000,China)

机构地区：[1]皖南医学院第二附属医院血液净化中心,安徽芜湖241000

出　　处：《中国医药导报》2024年第18期181-184,共4页China Medical Herald

摘　　要：目的探讨ADOPT模式健康教育在血液透析患者中的应用效果。方法选择2022年1月至2023年6月皖南医学院第二附属医院进行血液透析治疗的90例患者为研究对象。按照随机数字表法将其分为对照组和干预组,每组45例。对照组采用口头宣教、书面宣教、集中教育、个体指导和随访等措施,干预组在此基础上采用基于ADOPT模式健康教育,干预时间为6个月。比较两组干预前后自我效能、疾病知识水平、血流合格率及动静脉内瘘维护质量。结果干预前,两组一般自我效能感量表(GSES)评分比较,差异无统计学意义(P>0.05);干预后,两组GSES评分均高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。干预前,两组疾病知识知晓率比较,差异无统计学意义(P>0.05);干预后,两组疾病知识知晓率均高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。干预前,两组血流合格率比较,差异无统计学意义(P>0.05);干预后,干预组血流合格率高于干预前及对照组,差异有统计学意义(P<0.05)。干预组并发症总发生率低于对照组,维护措施落实率高于对照组,差异有统计学意义(P<0.05)。结论ADOPT模式健康教育能够改善慢性肾脏病血液透析患者自我效能,提高其疾病知识知晓率及血流合格率,并改善患者动静脉内瘘维护质量。Objective To explore the application effect of ADOPT model health education in hemodialysis patients.Methods A total of 90 patients undergoing hemodialysis treatment in the Second Affiliated Hospital of Wannan Medical College from January 2022 to June 2023 were selected as the study objects.They were divided into control group and intervention group according to random number table method,with 45 cases in each group.The control group was given oral education,written education,intensive education,individual guidance,and follow-up,and intervention group was given ADOPT based health education.The intervention period was six months.Self-efficacy,disease knowledge,blood flow pass rate,and maintenance quality of internal arteriovenous fistula were compared between two groups before and after intervention.Results Before intervention,there was no significant difference in general self-efficacy scale(GSES)scores between two groups(P>0.05);after intervention,the GSES scores of both groups were higher than before intervention,and intervention group was higher than control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in the disease knowledge awareness rate between two groups(P>0.05);after intervention,the disease knowledge awareness rate in both groups was higher than before intervention,and intervention group was higher than control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in blood flow pass rate between two groups(P>0.05);after intervention,blood flow pass rate in intervention group was higher than before intervention and control group,the differences were statistically significant(P<0.05).The total incidence of complications in intervention group was lower than that in the control group,and the implementation rate of maintenance measures was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion ADOPT model health education can

关 键 词：健康教育 ADOPT模式 血液透析 动静脉内瘘 血流量 

分 类 号：R473[医药卫生—护理学]