中国血液净化

中国血液净化 ›› 2018, Vol. 17 ›› Issue (03): 193-196.doi: 10.3969/j.issn.1671-4091.2018.03.010

• 透析心理学 • 上一篇    下一篇

授权教育对维持性血液透析患者健康素养及自我管理能力的影响

张颖君1,薛贵方1,杨玉洁1,袁怀红1   

  1. 1. 四川大学华西医院肾脏内科血液透析中心
  • 收稿日期:2017-12-04 修回日期:2018-01-02 出版日期:2018-03-12 发布日期:2018-03-12
  • 基金资助:

    四川省卫生和计划生育委员会科研课题(编号17PJ311)

Effect of empowerment education on health literacy and self-management ability in maintenance hemodialysis patients

  • Received:2017-12-04 Revised:2018-01-02 Online:2018-03-12 Published:2018-03-12

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摘要： 【摘要】目的探讨授权教育对维持性血液透析患者健康素养及自我管理能力的影响。方法选取80 例维持性血液透析患者，采用随机数字法将其分为观察组(n=40 例)和对照组(n=40 例)，观察组采用授权教育法，对照组采用传统的健康教育方法，比较2 组患者的健康素养和自我管理能力。结果观察组6 个月干预后的健康素养评分中信息获取能力、交流互动能力、改善健康意愿得分(t 值分别为3.454,4.012,3.659；P 值分别为＜0.05，＜0.05，＜0.05)以及健康素养总分(t 值4.435，P 值＜0.05)均明显高于对照组(P＜0.05)，经济支持意愿改变(t 值3.478，P 值0.451)无统计学意义(P＞0.05)。自我管理方面观察组干预后伙伴关系、问题解决、情绪处理、实施自我照顾活动及总分均明显高于对照组(t 值分别为4.179,3.412,3.268,3.281,4.665；P 值分别为＜0.05，＜0.05，＜0.05＜0.05，＜0.05)，差异有统计学意义(P＜0.05)。结论授权教育可以提高维持性血液透析患者的健康素养和自我管理能力，值得在临床上推广。

关键词: 血液透析, 健康素养, 自我管理, 授权教育

Abstract: 【Abstract】Objective To investigate the effect of empowerment education on health literacy and selfmanagement ability in maintenance hemodialysis patients. Methods A total of 80 hemodialysis patients were randomly divided into observation group (n=40) treated with empowerment education method and control group (n=40) group using the traditional method of health education. Health literacy and self- management ability were compared between the two groups. Results After the intervention for 6 months, health literacy scores of information acquisition ability, communication ability and willingness to improve health score were significantly higher in observation group than in control group (P＜0.05). The willingness to change financial support was not statistically significant (P＞0.05). In self-management after the intervention, the partnership, problem-solving, emotional treatment, implementation of self-care activities and total score were significantly higher in observation group than in control group (P＜0.05). Conclusion Empowerment education can improve the health literacy and self-management ability in maintenance hemodialysis patients. This education method is worthwhile to be promoted in clinical practice.

Key words: hemodialysis, health literacy, self-management, empowerment education