中国血液净化

中国血液净化 ›› 2022, Vol. 21 ›› Issue (03): 214-217.doi: 10.3969/j.issn.1671-4091.2022.03.017

• 护理研究 • 上一篇    下一篇

结构化教育对血液透析患者动静脉内瘘自我护理行为的影响研究

吴晓丽1,姜赞英2,曹利芬1   

  1. 浙江中医药大学附属湖州中医院1血液透析中心2护理部
  • 收稿日期:2021-05-18 修回日期:2021-12-11 出版日期:2022-03-12 发布日期:2022-03-16
  • 通讯作者: 吴晓丽 nurse_wu01@163.com E-mail:wu83xiaol@163.com
  • 基金资助:
    湖州市科学技术局公益性应用研究项目(2019GYB42)

Investigating on the effect of structured education on self-care behavior towards arteriovenous fistula in hemodialysis patients

  1. 1Hemodialysis Center and 2Department of Nursing, Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine, Huzhou 313000, China
  • Received:2021-05-18 Revised:2021-12-11 Online:2022-03-12 Published:2022-03-16

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摘要： 【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(c2=6.028，P=0.031；c2=5.745，P=0.025；c2=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。

关键词: 血液透析, 动静脉内瘘, 自我护理行为, 结构化教育

Abstract: 【Abstract】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
(c2=6.028, P=0.031), independence (c2=5.745, P=0.025) and diversity (c2=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.

Key words: Hemodialysis, Arteriovenous fistula, Self-care behavior, Structured education

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