中国血液净化

中国血液净化 ›› 2019, Vol. 18 ›› Issue (02): 137-141.doi: 10.3969/j.issn.1671-4091.2019.01.016

• 护理研究 • 上一篇    下一篇

基于VARK 学习风格的腹膜透析患者培训模式的设计与实现

罗纪聪1,梁莉1   

  1. 1. 中国人民解放军陆军军医大学第二附属医院
  • 收稿日期:2018-08-20 修回日期:2018-10-18 出版日期:2019-02-12 发布日期:2019-01-25
  • 通讯作者: 罗纪聪 E-mail:sangsang_nan@126.com
  • 基金资助:

    中国人民解放军陆军军医大学第二附属医院护理科研课题（2018YLC18）

Design and implementation of the training mode based on VARK learning style for peritoneal dialysis patients

  • Received:2018-08-20 Revised:2018-10-18 Online:2019-02-12 Published:2019-01-25

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摘要： 【摘要】目的探讨根据腹膜透析患者不同的学习风格类型实施相应的培训模式对患者主要监测指标的影响。方法采用便利抽样的方法选取2016 年2 月～2017 年6 月于中国人民解放军陆军军医大学第二附属医院(即新桥医院)行腹膜透析置管术的患者156 例，按随机数字表法分为对照组和试验组，每组78 例。对照组采用传统的培训方式由腹膜透析护士教授7 天腹膜透析培训课程；试验组应用弗莱明的视、听、读写、运动实践(visual aural read/write kinesthetic,VARK)问卷对患者学习风格进行评估，建立基于VARK 学习风格的腹膜透析患者培训模型，对于不同学习风格的患者实施个体化培训。随访6 个月，统计分析2 组患者主要监测指标的变化。结果对2 组患者随访6 个月的主要监测指标的比较发现，试验组自我管理能力、腹膜透析知识操作培训合格率优于对照组，试验组腹膜炎发生率、临床事件住院率均低于对照组；2 组患者出口处感染发生率、满意度无显著差异。结论根据腹膜透析患者不同的学习风格类型实施个体化教育培训，能够提高患者的培训质量，提高患者自我管理能力，降低腹膜透析相关性腹膜炎的发生率，降低临床事件住院率，改善透析效果。

关键词: 腹膜透析, 患者培训, 教育, 学习风格, 运动实践

Abstract: 【Abstract】Objective To probe into the impact of the training mode of different learning style on the main monitoring indexes in peritoneal dialysis (PD) patients. Methods By convenience sampling method, 156 PD cases in the period from February 2016 to June 2017 were recruited and randomly divided into observation group (n=78) and control group (n=78). The traditional 7 days training method was applied to the control group, while the observation group received Fleming's visual aural read/write kinesthetic (VARK) questionnaire to assess their learning style in order to set up a VARK learning style, the individualized training mode, for each of them. During the following 6-month of follow-up, the changes of the main monitoring indexes were statistically analyzed between the two groups. Results The scores of self- management skills, qualification rate of PD knowledge and operation, incidence of peritonitis, and rate of hospitalization due to clinical events were statistically different between the two groups after 6 months. No dramatic differences of infection rate around the exit and satisfaction of patients were found between the two groups after 6 months. Conclusion The individualized training method with distinguished learning style for PD patients can improve their training quality and patient self-management skills, reduce the incidence of PD-related peritonitis, decrease the rate of hospitalization due to clinical events, and improve the efficiency of PD.

Key words: Peritoneal dialysis, Patient training, Learning method, Learning style, VARK