期刊文献+

综合性健康教育对维持性血液透析患者依从性的影响 被引量:3

Effect of health education on patient's compliance of hemodialysis
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摘要 目的:探讨综合性健康促进项目对维持性血液透析患者依从性的影响。方法:将200例维持性血液透析患者等分为试验组和对照组,试验组采用综合性健康促进项目,对照组采用常规健康教育方法,比较两组患者在治疗遵从性(错过治疗次数、缩短治疗时间、Kt/V)、液体依从性(IDWG)及饮食依从性(血清磷含量、血清白蛋白)上的差异性。结果:两组患者在治疗次数、治疗时间上存在统计学差异(P<0.05),在液体依从性及饮食依从性中的血清白蛋白依从性上存在统计学差异(P<0.05)。结论:综合性健康促进项目优于常规健康宣教,能有效改善维持性血液透析患者的依从性,值得临床推广应用。 Objective:A randomized controlled trim was conducted involving 188 stable adult patients maintaining hemodialysis. The objective was to deter- mine the effect of comprehensiveness intervention on patient's compliance. Methods:The intervention group received comprehensiveness intervention, whereas traditional health education was proved to the control group. To compare the compliance of two groups. Results : There were statistical differences in treatment compliance including treatment of times and treatment time( P 〈 0.05 ) , and significant differences in IDWG and serum albumin ( P 〈 0.05 ) between two groups. Conclusion:Comprehensiveness intervention can improve compliance, and therefore deserve clinical promotion.
作者 徐静 吴霞珺
出处 《护理实践与研究》 2014年第11期29-30,共2页 Nursing Practice and Research
基金 上海交通大学医学院附属瑞金医院院级科研基金支持项目(RJHK-2012-07)
关键词 健康宣教 血液透析 依从性 Heahh education Hemodialysis Compliance
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参考文献10

  • 1钟海英,冯佩兰,宋晓宇,莫世秀.维持性血液透析患者遵医行为的调查分析[J].齐齐哈尔医学院学报,2006,27(4):413-414. 被引量:11
  • 2Matteson ML, Russell C. Interventions to improve hemodialysis ad- herence : A systematic review of randomized - controlled trials [ J ]. Hemodial Int,2010,14 (4) : 370 - 382.
  • 3Saran R, Bragg- Gresham JL, Rayner HC, et al. Nonadherence in hemodialysis : Associations with mortality, hospitalization, and prac- tice patterns in the DOPPS [ J 1. Kidney Int, 2003, 64 ( 1 ) : 254 - 262.
  • 4Kugler C, Vlaminck H, Haverich A, et al. Nonadherence with diet and fluid restrictions among adults having hemodialysis [ J ]. J Nurs Seholarsh ,2005,37 ( 1 ) :25 - 29.
  • 5Molaison EF, Yadrick MK. Stages of change and fluid intake in dial- ysis patients[J]. Patient Educ Couns,2003,49( 1 ) :5 - 12.
  • 6Lee SH, Molassiotis A. Dietary and fluid compliance in Chinese he- modialysis patients [ J ]. Int J Nurs Stud,2002,39 (7) :695 - 704.
  • 7鲁慧,吕探云,王君俏,林惠凤,高键.提高血液透析患者液体摄入依从性的干预方式与效果评价[J].上海护理,2006,6(2):3-6. 被引量:8
  • 8乔小军.系统性护理干预对维持性血液透析患者液体摄入依从性的影响[J].实用医技杂志,2011,18(2):211-212. 被引量:22
  • 9Morey B, Walker R, Davenport A. More dietetic time, better out- come? A randomized prospective study investigating the effect of more dietetic time on phosphate control in end - stage kidney failure haemodialysis patients [ J ]. Nephron Clin Pract, 2008, 109 ( 3 ) : c173 - 180.
  • 10Baraz S, Parvardeh S, Mohammadi E, et al. Dietary and fluid compli- ance:an educational intervention for patients having haemodialysis [ J ]. J Adv Nurs,2010,66 ( 1 ) : 60 - 68.

二级参考文献20

  • 1陈燕琼,陈幼娥,罗燕玲,陈丽娜,林彩霞.血液透析患者社会支持状况调查及对策[J].现代临床护理,2004,3(4):4-5. 被引量:11
  • 2周达生,姚华庭.医学系统工程与遵医行为研究[J].中国医院管理,1995,15(2):37-39. 被引量:583
  • 3[10]King CM,Rothman AJ,Jeffery RW.The challenge study:theorybased interventions for smoking and weight loss.Health Educ Res,2002,17(5):522-530.
  • 4[12]Frenn M,Malin S.Diet and exercise in low-income culturally diverse middle school students [ J ].Public Health Nurs,2003,20 (5):361-368.
  • 5[6]Hecking E,Bragg-Gresham JL,Rayner HC,et al.Haemodialysis prescription,adherence and nutritional indicators in five European countries:results from the Dialysis Outcomes and Practice Patterns Study(DOPPS)[J].Nephrol Dial Transplant,2004,19(1):100-107.
  • 6[7]Ruesch AC,Gilmore GD.Developing and implementing a healthy heart program for women in a parish setting[J].Holist Nur Pract,1999,13(4):9-18.
  • 7[8]Vlaminck H,Maes B,Jacobs A,et al.The dialysis diet and fluid nonadherence questionnaire:validity testing of a self-report instrument for clinical practice[J].J Clin Nurs,2001,10(5):707-715.
  • 8[9]Johnstone S,Halshaw D.Making peace with fluid.Social workers lead cognitive-behavioral intervention to reduce health-risk behavior [ J ].Nephrol News Issues,2003,17(13):20-27.
  • 9王海燕.肾脏病学.2版.北京:人民卫生出版社,2001:1555.
  • 10王质刚.血液净化[A]..肾移植:第1版[C].北京北京科学技术出版社,2000.68-69.

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