作　　者： ;

机构地区： 江门市新会区中医院

出　　处： 《中国当代医药》 2019年第17期217-219,共3页

摘　　要： 目的探讨健康教育在维持性血液透析(MHD)患者中的应用效果。方法选取2017年1月~2018年1月在我院血液透析中心行MHD的92例患者作为研究对象,按照随机数字表法分为观察组和对照组,每组各46例。对照组常规进行透析及透析间期生活指导,观察组进行专题健康教育,6个月为1个周期。比较两组患者干预前后清蛋白(Alb)、血红蛋白(Hb)、肌酐(SCr)、尿素氮(BUN)、血钾(K^+)水平,采用KDQOL-SF1.3量表对患者的心理相关生存质量(MCS)、生理相关生存质量(PCS)、肾脏-透析相关生存质量(KDTA)进行评分。结果与干预前比较,观察组干预后的Alb、Hb水平明显升高,SCr、BUN、K^+水平明显降低,差异有统计学意义(P<0.05);干预后观察组患者的Alb、Hb水平高于对照组,SCr、BUN、K^+水平低于对照组,差异有统计学意义(P<0.05);与干预前比较,观察组干预后的MCS、PCS、KDTA评分明显升高,差异有统计学意义(P<0.05);干预后观察组患者的MCS、PCS、KDTA评分均高于对照组,差异有统计学意义(P<0.05)。结论MHD患者实施健康教育能够改善患者的各项生理指标,提高生活质量,值得借鉴。 Objective To explore the application effect of health education in maintenance hemodialysis (MHD) patients.Methods A total of 92 patients who underwent regular dialysis from January 2017 to January 2018 in hemodialysis center of our hospital were selected as the subjects,and divided into observation group and control group by random number table method,with 46 cases in each group.The control group received routine dialysis and life guidance during dialysis,and the observation group received special health education,6 months for a cycle.The albumin (Alb),hemoglobin (Hb),creatinine (SCr),urea nitrogen (BUN),blood potassium (K^+) level between the two groups before and after intervention were compared,and the patients' psychosocial quality of life (MCS),physiologically relevant quality of life (PCS),and kidney-dialysis-related quality of life (KDTA) were scored using the KDQOL-SF1.3 scale.Results Compared with pre-intervention,the levels of Alb and Hb were significantly increased in the observation group after intervention,and the levels of SCr,BUN and K^+ were significantly lower (P<0.05).The levels of Alb and Hb were higher than those of the control group,and the levels of SCr,BUN and K^+ were lower than those of the control group (P<0.05).Compared with the pre-intervention,the MCS,PCS and KDTA scores of the observation group were significantly increased (P<0.05).The MCS,PCS and KDTA scores of the observation group were higher than those of the control group after intervention,the differences were statistically significant (P<0.05).Conclusion Health education in patients with MHD can improve various physiological indicators and improve the quality of life.It is worth learning.

关 键 词： 健康教育 维持性血液透析 生存质量 量表

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