摘要
目的了解老年血液透析患者的生存质量，探讨程序化健康教育对患者生存质量的影响。方法对83例老年血液透析患者进行为期6个月的程序化健康教育，采用肾脏疾病生存质量量表调查患者的生存质量。运用自身前后对照研究的方法，比较接受教育前后老年血液透析患者生存质量的变化。结果83例老年血液透析患者接受程序化健康教育前性功能、工作状况、肾病负担、总体健康期望、生理职能和精力6个维度得分低于量表的平均分。接受6个月程序化健康教育后，一般健康相关生活质量量表及其生理功能、生理职能、心理健康、情感职能、社会功能等5个维度和肾脏疾病和透析相关生活质量量表及其症状、社会交往质量、睡眠、社会支持、医护鼓励、患者满意度等6个维度的评分明显升高，差异具有统计学意义（P〈0．05）。结论肾功能不全严重影响老年血液透析患者的生存质量，程序化健康教育可以明显改善老年血液透析患者的生存质量。
Objective To study the quality of life among the senile hemodialysis patients, and explore the effect of the programmed health education on the quality of their lives. Methods The programmed health education were adopted in 83 senile bemodialysis patients for 6 months, and the Kidney disease quality of life Short Form（KDQOL-SFYM） was used to measured the quality of life among these patients. The changes of the quality of th6ir lives were analyzed after they received the programmed health education with the the paired- samples t test. Results The scores in the sexual function, work status, burden of kidney disease, general perceptions, role limitations caused by physical health problems and energy were lower than the mean scores of the questionnaires among these 83 patients before they received the programmed health education. After they received 6-month programmed health education, the scores of 36-item Short Form Health Survey （SF-36） and those in physical functioning, role limitations caused by physical health problems, mental health, role limitations caused by physical health problems, social functioning, increased with significances （P 〈 0.05）. The scores of the kidney disease component summary （KDCS） and those in symptoms, quality of social interaction, sleep, social support, dialysis staff encouragement, patient satisfaction, increased with statistical significances. Conclusions The renal inadequacy affected the quality of lives among the senile hemodialysis patients severely, and the programmed health education can improve the quality of their lives.
出处
《中华现代护理杂志》
2010年第29期3505-3508,共4页
Chinese Journal of Modern Nursing
关键词
血液透析
健康教育
生存质量
老年患者
Hemodialysis
Programmed health education
Quality of life
Senile patients
