摘要
目的探讨实施自我效能教育对维持性血液透析患者液体摄入及相关并发症的影响。方法选择150例维持性血液透析患者分为观察组77例和对照组73例,对照组实施常规护理,观察组在此基础上实施自我效能教育。结果观察组干预前后IDWG、DIWG、IDWG/干体重显著降低(P<0.05),对照组则无显著改变,观察组干预1个月、3个月IDWG、DIWG、IDWG/干体重均显著低于对照组(P<0.05)。干预前两组依从性无显著差异,干预1个月、3个月观察组依从性呈上升趋势,均显著高于对照组(P<0.05)。两组干预前后经SCSD评价,观察组干预后自我效能呈上升趋势,差异有统计学意义(P<0.05),干预1个月、3个月观察组自我效能均显著高于对照组(P<0.05)。干预期间,观察组透析相关高血压、低血压、心力衰竭、肌肉痉挛、发热的发生率均显著低于对照组(P<0.05)。结论自我效能教育有效促进患者对液体摄入的控制行为积极性、自觉性和依从性提高,减少相关并发症的发生。
Objective To investigate the impact of education on self-efficacy on fluid intake and complications in patients for maintenance hemodialysis. Methods A total of 150 cases of hemodialysis patients were divided into observa- tion group of 77 cases and control group of 73 cases ,in the control group implemented routine care, observation group on the basis implemented self-efficacy education. Results The study group intervention [DWG,DIWG,IDWG/dry weight had significant reduction （P〈0.05）, the control group had no significant change, in 1 month and 3 months, IDWG, DIWG, IDWG/dry weight in the observation group intervention were significantly lower than the control group （P〈0.05）. Before the intervention, the two groups had no significant difference, 1 month and 3 months, adherence intervention in the observation group compliance upward trend, were significantly higher （P〈0.05）. Groups before and after the intervention by the SCSD evaluation, self-efficacy were observed after the intervention group showed a rising trend, and the differences were statistically significant （P〈0.05）, the intervention 1 month and 3 months ,in the observa- tion group had significantly higher self-efficacy （P〈0.05）. During the intervention,the observation group dialysis-related hypertension, hypotension, heart failure, muscle cramps, fever occurred were significantly lower than the control group （P〈0.05）. Condusion Patients self-efficacy education effectively promote fluid intake control the behavior of enthusiasm, self-awareness and improve compliance, reduce the incidence of related complications.
出处
《中国现代医生》
2014年第28期4-7,共4页
China Modern Doctor
基金
国家自然科学基金(30970835)
