摘要
目的评估结构化教育在自体动静脉内瘘(ateriovenous fistula,AVF)患者自我护理行为中的效果。方法随机分干预组48例和对照组41例。对照组接受常规干预,干预组实施结构化教育,对比干预前后患者AVF自我护理行为情况及满意度。结果干预后:对照组自身前后比较,患者AVF自我护理行为总分(t=1.836,P=0.059)、症状体征管理(t=1.954,P=0.582)及并发症预防得分(t=1.768,P=0.611)差异无统计学意义;干预组自身前后比较,患者AVF自我护理行为总分(t=4.699,P=0.032)、症状体征管理(t=3.288,P=0.027)及并发症预防得分(t=4.005,P=0.025)差异有统计学意义;干预后,干预组与对照组比较,患者AVF自我护理行为总分(t=3.847,P=0.013)、症状体征管理(t=2.589,P=0.027)及并发症预防得分(t=3.255,P=0.023)差异有统计学意义;干预组满意度高于对照组,灵活性、自主性、多样性(χ^(2)=6.028,P=0.031;χ^(2)=5.745,P=0.025;χ^(2)=4.321,P=0.032)比较差异有统计学意义。结论在AVF患者自我护理行为健康教育中,结构化教育效果显著,值得推广。
Objective To evaluate the effect of structured education on self-care behavior towards arteriovenous fistula(AVF)in hemodialysis patients.Methods The hemodialysis patients were randomly divided into the intervention group(n=48)and the control group(n=41).Patients in the control group received routine nursing,and those in the intervention group were treated with structured education.The self-care behavior towards AVF and satisfaction of the patients were compared before and after the intervention.Results In the control group,the total score of self-care behavior towards AVF(t=1.836,P=0.059),symptom and sign management score(t=1.954,P=0.582)and complication prevention score(t=1.768,P=0.611)had no statistically significances as compared with those before and after the intervention.In the intervention group,the total score of self-care behavior towards AVF(t=4.699,P=0.032),symptom and sign management score(t=3.288,P=0.027)and complication prevention score(t=4.005,P=0.025)were statistically significant as compared with those before and after the intervention.After the intervention,the total score of self-care behavior towards AVF(t=3.847,P=0.013),symptom and sign management score(t=2.589,P=0.027)and complication prevention score(t=3.255,P=0.023)were statistically higher in the intervention group than in the control group;the rate of patient satisfaction was higher in the intervention group than in the control group;the flexibility(χ^(2)=6.028,P=0.031),independence(χ^(2)=5.745,P=0.025)and diversity(χ^(2)=4.321,p=0.032)were also statistically different between the two groups.Conclusion In the health education of self-care behavior for patients with AVF,the structured education has significant effects and can be widely used.
作者
吴晓丽
姜赞英
曹利芬
WU Xiao-li;JIANG Zan-ying;CAO Li-fen(Hemodialysis Center,Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine,Huzhou 313000,China;Department of Nursing,Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine,Huzhou 313000,China)
出处
《中国血液净化》
CSCD
2022年第3期218-221,共4页
Chinese Journal of Blood Purification
基金
湖州市科学技术局公益性应用研究项目(2019GYB42)。
关键词
血液透析
动静脉内瘘
自我护理行为
结构化教育
Hemodialysis
Arteriovenous fistula
Self-care behavior
Structured education
