知信行模式健康教育联合多维协同延续性干预在终末期肾病血液透析病人中的应用

    Application of health education based on knowledge-attitude-practice model combined with multidimensional collaborative continuity intervention in end stage renal disease patients undergoing hemodialysis

    • 摘要: 目的:探讨知信行模式健康教育+多维协同延续性干预在终末期肾病(ESRD)血液透析病人中的应用效果。方法:选取在本院就诊的ESRD行血液透析病人80例,随机分为对照组和观察组,各40例。对照组给予知信行模式健康教育,观察组在对照组基础上给予多维协同延续性干预,2组干预时间均为2个月。比较2组干预前后自我管理能力、健康行为、血液透析并发症和生活质量。结果:干预后,2组病人自我管理能力、健康行为、生活质量均较干预前明显改善(P<0.01),且观察组各指标和血液透析并发症发生率均优于对照组(P<0.05~P<0.01)。结论:知信行模式健康教育联合多维协同延续性干预可提高ESRD行血液透析病人的护理效果,对病人自我管理能力和依从性有积极影响,并有助于减少并发症,提高病人生活质量和护理满意度。

       

      Abstract: Objective: To explore the application effect of health education based on knowledge-attitude-practice model combined with multidimensional collaborative continuity intervention in end stage renal disease (ESRD) patients undergoing hemodialysis. Methods: Eighty patients with ESRD undergoing hemodialysis were selected and randomly divided into a control group and an observation group,with 40 patients in each group.The control group received health education based on knowledge-attitude-practice model,while the observation group received multidimensional collaborative continuity intervention on the basis of the control group.Both groups were intervened for 2 months.The self-management ability,healthy behavior,hemodialysis complications,and quality of life were compared between the two groups before and after intervention. Results: After intervention,the self-management ability,healthy behavior,quality of life in the two groups were obviously improved compared with before intervention (P<0.01),and the above indicators,incidence of hemodialysis complications in the observation group were significantly better than those in the control group (P<0.05 to P<0.01). Conclusions: The combination of health education based on knowledge-attitude-practice model and multidimensional collaborative continuity intervention can enhance the nursing outcomes for patients with ESRD undergoing hemodialysis.This approach positively impacts patients' self-management ability and compliance,helps reducing complications,and improves patients' quality of life and satisfaction with nursing care.

       

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