中国血液净化

中国血液净化 ›› 2022, Vol. 21 ›› Issue (05): 377-380.doi: 10.3969/j.issn.1671-4091.2022.05.017

• 护理研究 • 上一篇    下一篇

基于健康意识理论的教育模式对腹膜透析患者容量管理行为及饮食依从性的影响

常雅楠1,赵彩萍2,马小琴3,王丽2,王艳3   

  1. 1宁夏医科大学护理学院 2宁夏医科大学总医院肾脏内科
  • 收稿日期:2021-08-25 修回日期:2021-12-15 出版日期:2022-05-12 发布日期:2022-05-12
  • 通讯作者: 赵彩萍 E-mail:nxzx110@126.com
  • 基金资助:
    宁夏重点研发计划一般项目(2018BEG03041)

Effect of education model based on health awareness theory on volume management behavior and dietary compliance in peritoneal dialysis patients

CHANG Ya-nan1, ZHAO Cai-ping2, MA Xiao-qin2, WANG Li2, WANG Yan   

  1. School of Nursing, Ningxia Medical University, Yinchuan 750004, China; 2Department of Nephrology, General Hospital of Ningxia Medical University, Yinchuan 750004, China
  • Received:2021-08-25 Revised:2021-12-15 Online:2022-05-12 Published:2022-05-12
  • Supported by:
    General projects of Ningxia Key R & D Program

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摘要： 探讨基于健康意识理论的教育模式对腹膜透析患者容量管理行为及饮食依从性的影响。方法选取2019年1月～2020年5月在宁夏医科大学总院接受腹膜透析治疗的129例患者作为研究对象。随机分为对照组和试验组，对照组进行常规健康教育,试验组在常规教育的基础上联合基于健康意识理论的健康教育,比较干预前及干预3个月后2组患者容量管理行为得分和饮食依从性得分的差异。结果干预前，容量管理行为总分、饮食依从行为总分比较，差异无统计学意义(t=0.847、3.230，P=0.398、0.540)。干预3个月后，试验组容量管理行为总分、饮食依从行为总分均高于对照组，差异有统计学意义(t=3.230、4.586，P=0.002、0.001)。结论基于健康意识理论的健康教育模式能改善腹膜透析患者容量管理行为，提高患者饮食依从性。

关键词: 腹膜透析, 健康意识理论, 依从性, 容量状况

Abstract: Objective  To explore the effect of education model based on health awareness theory on volume management behavior and dietary compliance in peritoneal dialysis (PD) patients.  Methods  A total of 129 PD patients in the General Hospital of Ningxia Medical University from January 2019 to May 2020 were enrolled in this study. They were randomly divided into control group and experimental group. The control group received routine health education, and the experimental group received health education model based on health awareness theory in addition to routine health education. The differences of volume management behavior score and diet compliance score were compared between the two groups before and after 3 months of intervention.  Results  Before intervention, there were no significant differences in the total scores of volume management behavior and diet compliance behavior between the two groups; the total score of volume management behavior was (12.53±5.60) vs. (11.75±4.79)(t=0.847, P=0.398), and the total score of dietary compliance behavior was (86.71±10.49) vs. (85.66±8.67) (t=0.615, P=0.540). After three months of intervention, the total scores of volume management behavior and dietary compliance behavior in the experimental group were higher than those in the control group, and the difference was statistically significant; the total score of volume management was (15.73±4.19) vs. (13.51±3.69) (t=3.230, P=0.002, and the total score of dietary compliance behavior was (92.39±7.64) vs. (86.24±7.58), t=4.586, P=0.001.  Conclusion Health education model based on health awareness theory can improve volume management behavior and dietary compliance behavior in PD patients.

Key words: Peritoneal dialysis, Health consciousness theory, Compliance, Fluid status

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