摘要
目的探讨向维持性血液透析(MHD)患者家属同步实施健康教育对患者远期生活质量的影响。方法选择49例MHD患者,随机分为观察组(24例)和对照组(25例),2组患者在常规治疗的同时接受健康教育;观察组在此基础上同步实施家属健康教育。分别在患者透析第1年和第5年后,采用生存质量指数评定量表(SF-36QOL),对2组患者生存质量进行评分并记录。结果第1年和第5年后,组间比较,观察组总体生存质量明显高于对照组,差异有显著性(1年后P<0.01,5年后P<0.001)。结论对MHD患者家属同步实施健康教育,可提高家属的照料水平、配合程度及患者远期的生活质量。
Objective To study the influence of long - term quality of life in MHD patient after their family numbers have received home- nursing education Methods 49 cases of MIlD were divided into two groups randomly： the observe groups（ n = 24）, and the control groups（ n = 25）, Both groups were received routing treatment with health education, while the family members of observation groups were also guided with home- nursing education.After one and five years＇ treatment, the index of quality of life were compared with SF- 36 respectively. Results The quality of life in observation groups was significant higher than that of control group （after one year P 〈 0. 01, after five years P 〈 0.001 ）. Conclusion The home - nursing education to the family of MHD patients can raise the level of home - nursing, and then improve the long - term quality of life of MHD patients.
基金
广东医学院科研基金资助项目(编号:2002N12)
关键词
MHD
健康教育
家庭护理
生活质量
Maintenance hemodialysis
Health education
Home- nursing
Quality of life
