Abstract: Objective To investigate the effect of incentive health education mode on the improvement of volume control and life quality in maintenance hemodialysis (MHD) patients. Methods A total of 152 MHD patients (88 males and 64 females, 20~75 years old) were recruited in this study. They were randomly divided into control group (n=76) and incentive group (n=76). The traditional health education mode was used in control group, while the novel incentive mode of health education was used incentive group. The volume control rate, BP control rate, and BNP level were evaluated after the health education mode for 0, 3, 6, and 12 months. The quality of life in patients was assessed by SF-36 scale. Results At the 3rd month of education, the volume control rate was significantly higher in incentive group than in control group (χ2=9.581, P=0.031). At the 6th month of education, incentive group had a higher BP control rate (χ2=15.692, P＜0.001), a higher
physical functioning score (74.92 ± 20.86 vs. 64.43 ± 24.26; t=2.412, P=0.021), a higher role- physical score (55.22±19.09 vs. 43.19±27.68; t=2.414, P=0.020), and a higher role-emotional perception score (71.31±33.41 vs. 60.67 ± 41.11; t=2.042, P=0.007); BNP level was also lower in incentive group than in control group (139.78 ± 46.62 pg/ml vs. 200.09 ± 26.21 pg/ml; t=5.689, P＜0.001). Conclusion The incentive mode of health education is better than the traditional education mode in improvement of volume control and life quality in MHD patients.

Key words: incentive mode, health education, volume control, life quality, maintenance hemodialysis