摘要
目的 探讨慢性肾功能衰竭透析患者出院前应用类集体健康教育的效果.方法 采用方便抽样法,选取2016年4月—2017年3月哈尔滨医科大学附属第一医院收治94例首次进行血液透析的患者作为研究对象.根据住院日期分为对照组（2016年4 -9月）45例和观察组（2016年10月—2017年3月）49例.对照组给予常规出院健康宣教,观察组采用类集体健康教育方案.比较两组患者BMI增长率、并发症发生情况、人均教育所需时间及患者对宣教的满意度.结果 出院30 d,观察组BMI增长率低于对照组,依从性高于对照组,差异均具有统计学意义（t=5.289,Z=4.566;P〈0.01）.观察组透析并发症发生率低于对照组,人均教育所需时间高于对照组,患者对宣教满意度在耗时性、自由性、自主性、丰富性方面均明显高于对照组,差异均具有统计学意义（P〈0.01）.结论 类集体健康教育能明显提高慢性肾功能衰竭透析患者出院宣教效率,提升治疗效果.
Objective To explore the effects of quasi-collective education in chronic renal failure dialysis patients before discharge. Methods A total of 94 cases of first hemodialysis patients in the First Affiliated Hospital of Harbin Medical University from April 2016 to March 2017 were selected as the research objects by convenience sampling method. According to the admission date, 45 patients admitted from April to September 2016 were assigned to control group, and 49 patients admitted from Octorber 2016 to March 2017 were assigned to observation group. Routine discharge health education was applied in the control group, while quasi-collective education was adopted in the observation group. The growth rate of body mass index （BMI）, the incidence of complications, the average education time and patient satisfaction with education were compared between the two groups. Results On the 30th day of discharge, the growth rate of BMI of the observation group was lower than that of the control group, while the compliance was higher than that of the control group, and the differences were statistically significant （t=5.289, Z=4.566; P〈0.01）. The incidence of dialysis complications in the observation group was lower than that in the control group, and the average education time was higher than that in the control group. Patients＇ satisfaction with education in time consuming, freedom, autonomy and richness in the observation group were statistically significantly higher than those of the control group （P〈0.01）. Conclusions Quasi-collective education can significantly improve the discharge education effectiveness in chronic renal failure dialysis patients, so as to improve the treatment effect.
作者
宫立辉
胡莹
张兆敏
程静
Gong Lihui;Hu Ying;Zhang Zhaomin;Cheng Jing(Dialysis Room, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China（Gong LH, Zhang ZM, Cheng J;Nephrology Department Ⅱ , the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China（Hu Y)
出处
《中华现代护理杂志》
2018年第8期935-938,共4页
Chinese Journal of Modern Nursing
关键词
健康教育
肾功能衰竭
慢胜
肾透析
Health education
Kidney failure
chronic
Renal dialysis
