中国血液净化

中国血液净化 ›› 2014, Vol. 13 ›› Issue (11): 800-802.doi: 10.3969/j.issn.1671-4091.2014.11.016

• 护理园地 • 上一篇    下一篇

赏识教育在提高血液透析患者自我护理能力的作用

吕婷婷,王蓉花,张静,朱亚梅,马逊   

  1. 南京，南京医科大学第一附属医院肾内科
  • 收稿日期:2014-06-23 修回日期:2014-08-30 出版日期:2014-11-12 发布日期:2014-11-12
  • 通讯作者: 王蓉花 ssma2001@163.com E-mail:ltt312@163.com

Appreciation education to improve self-care ability in hemodialysis patients

  • Received:2014-06-23 Revised:2014-08-30 Online:2014-11-12 Published:2014-11-12

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摘要： 【摘要】 目的 探讨赏识教育(Appreciation Education)在血透患者优质护理(High quality care )中的应用效果。方法 对80例患者在健康教育(Health education)中应用赏识教育。结果 受赏识教育的患者及家属依从性增高，观察组各项护理能力评分明显提高，知识掌握情况（95.26±3.01）好于对照组（90.14±1.26），p=0.034；自我护理技能（97.51±1.01）强于对照组（92.34±1.39），p=0.019；自护责任感（94.15±1.77）高于对照组（88.86±1.89），p=0.040；自护效果（94.58±1.58）明显好于对照组（90.38±2.12），p=0.037；P值均小于0.05。在对并发症控制情况的比较中，观察组也明显好于对照组，并发症控制情况明显改善，差异有统计学意义。患者乐观、自信、有成就感，提升了优质护理，促进了疾病的治愈，大大提高了患者自我护理的能力。结论 赏识教育可增强患者自信心，提高患者的积极主动性，有利于疾病的治疗和恢复。

关键词: 血液透析, 赏识教育, 自我护理

Abstract: 【Abstract】Objective To explore the effect of appreciation education on the performance of high quality care for maintenance hemodialysis (MHD) patients. Method Appreciation education was applied in the health education for 80 MHD cases. Result Compliance increased significantly in MHD patients and their
family members accepted the appreciation education. Nursing ability scores became higher in every area in the observation group than in the control group, including gain of knowledge (97.51±1.01 vs. 92.34±1.39, compared to control group, P=0.034), self-care skills (97.51±1.01 vs. 92.34±1.39, compared to control group, P=0.019), self-care responsibility (94.15±1.77 vs. 88.86±1.89, compared to control group, P=0.040) and self care effects (94.58±1.58 vs. 90.38±2.12, compared to control group, P=0.037). Control of complications was statistically greater in observation group than in control group. Optimistic, self-confident and accomplishment feelings facilitated the improvement of high quality care, convalescence of the disease, and self-care ability in the patients. Conclusion Appreciation education promotes the self-confidence and initiatives of the patients, which create an atmosphere favorable to disease treatment and recovery.

Key words:  hemodialysis, Appreciation education, Self care