中国血液净化

中国血液净化 ›› 2018, Vol. 17 ›› Issue (04): 255-258.doi: 10.3969/j.issn.1671-4091.2018.04.011

• 透析心理学 • 上一篇    下一篇

单中心血液透析患者磷添加剂知信行现状调查与分析

李婷婷1,鲁春红1,王菲1,樊蓉2   

  1. 南京总医院 国家肾脏疾病临床医学研究中心 1. 全军肾脏病研究所 2. 血液净化中心
  • 收稿日期:2017-11-20 修回日期:2017-12-22 出版日期:2018-04-12 发布日期:2018-04-12
  • 通讯作者: 樊蓉 fanbuliao88＠163.com E-mail:fanbuliao88@163.com

Knowledge, attitude, belief and practice towards phosphorus-based additives among hemodialysis patients

  • Received:2017-11-20 Revised:2017-12-22 Online:2018-04-12 Published:2018-04-12

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摘要： 【摘要】目的调查血液透析患者磷添加剂知识、态度及行为的现状，为血液透析护士对患者制定高磷血症健康教育提供参考依据。方法采用自行设计的调查问卷，应用方便抽样法进行问卷调查。结果患者磷添加剂知信行总得分为(29.15±5.43)分，处于中等水平。磷添加剂知识得分(8.36±3.55)分；态度得分(13.72±1.81)分；行为得分(7.07±2.18)分。患者磷添加剂水平受透析时间及血磷水平的影响。磷添加剂知信行的Pearson 相关分析：知识与态度、态度与行为呈显著正相关(r 值分别为0.2644,0.3806；P 值分别为0.0024,＜0.001)，知识与行为无相关性(r 值0.1621；P 值0.0654)。结论血液透析患者磷添加剂知识明显缺乏，其态度及行为均存在不足，应通过系统、正确的磷添加剂教育，使患者掌握磷添加剂的正确知识，鼓励并坚定控制血磷的信念，纠正并强化自我管理行为，从而改善患者血磷水平。

关键词: 血液透析, 磷添加剂, 知信行, 健康教育

Abstract: 【Abstract】Objective To investigate knowledge, attitude, belief and practice towards phosphorus-based additives among hemodialysis patients in order to improve the health education of phosphorus-based additives for the patients. Methods We used self-designed questionnaire and convenient sampling method to investigate knowledge, attitude, belief and practice towards phosphorus- based additives in hemodialysis patients. Results The total score of the questionnaire was 29.15±5.43 points, corresponding to a moderate level. The score of pain knowledge was 8.36±3.55, the score of pain attitude was 13.72±1.81, and the score of analgesic behavior was 7.07±2.18. According to Pearson correlation analyses, knowledge and attitude were positively correlated with attitude and behavior (P<0.01), but no correlation was found between knowledge and behavior (P>0.05). Conclusion Knowledge, attitude, belief and practice health education model should be adopted to improve knowledge, attitude and behavior towards phosphorus-based additives to control serum phosphorus level in hemodialysis patients.

Key words: hemodialysis, phosphorus-based additives, knowledge-attitude-belief-practice, health education