摘要
目的探讨家属同步教育对慢性肾功能衰竭维持性血液透析(maintenance hemodialysis,MHD)患者疾病不确定感的影响。方法方便性抽样选择2010年2月至2011年12月在温岭市中医院血液净化中心进行MHD治疗的慢性肾功能衰竭患者164例,按透析单双日将其分为观察组与对照组各82例,对照组患者采用常规健康教育,观察组患者在常规健康教育的同时实施家属同步教育。于首次MHD治疗前、治疗1、3个月后,采用Mishel疾病不确定感量表(中文版)对两组患者进行调查。结果首次血液透析前,患者的疾病不确定感平均得分为(71.80±6.58)分,处于较高水平,两组比较差异无统计学意义(P>0.05);在MHD治疗1、3个月后,两组患者的疾病不确定感得分差异均有统计学意义(均P<0.05),且时间和干预因素间存在交互作用。结论对慢性肾功能衰竭MHD患者进行常规健康教育的同时实施家属同步教育,能降低患者的疾病不确定感,且干预时间越长效果越好。
Objective To discuss the effect of family members＇ sync education on uncertainty in illness in maintenance hemoclialysis patients. Methods From February 2010 to December 2011, a total of 164 pa tients with Chronic renal failure and maintenance hemodialysis were divided into observation group and control group,with 82 patients in each group. Both of the groups received routine health education,and the observation group took additional family members＇ sync education. All subjects were asked to accomplish the Mishel＇s Uncertainty in illness Scale pre-hemodialysis,the end of one month and three month in the process of maintenance hemodialysis respectively. Results The main score of uncertainty in illness is rela- tively high （71. 80±6. 58） pre-hemodialysis, and no significant difference was found between the two groups（P〈0.05）. The total score of uncertainty in illness showed significant differences at the end of one month and three month in the process of maintenance hemodialysis （P〈 0. 05）. Interaction effect was found between time factor and interventions. Conclusion The routine health education and family mem- bers＇ sync education can significantly decrease the uncertainty in illness among patients with Chronic renal failure and maintenance hemodialysis. The longer the intervention persists, the better the effect will be.
出处
《解放军护理杂志》
CSCD
2013年第9期26-28,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
家属同步教育
慢性肾功能衰竭
维持性血液透析
疾病不确定感
family members~ sync education
chronic renal failure
maintenance hemodialysis
uncertaintyin illness
