家属同步教育对慢性肾功能衰竭维持性血液透析患者疾病不确定感的影响
|
摘要
目的探讨家属同步教育对慢性肾功能衰竭维持性血液透析(maintenance hemodialysis,MHD)患者疾病不确定感的影响。方法方便性抽样选择2010年2月至2011年12月在温岭市中医院血液净化中心进行MHD治疗的慢性肾功能衰竭患者164例,按透析单双日将其分为观察组与对照组各82例,对照组患者采用常规健康教育,观察组患者在常规健康教育的同时实施家属同步教育。于首次MHD治疗前、治疗1、3个月后,采用Mishel疾病不确定感量表(中文版)对两组患者进行调查。结果首次血液透析前,患者的疾病不确定感平均得分为(71.80±6.58)分,处于较高水平,两组比较差异无统计学意义(P>0.05);在MHD治疗1、3个月后,两组患者的疾病不确定感得分差异均有统计学意义(均P<0.05),且时间和干预因素间存在交互作用。结论对慢性肾功能衰竭MHD患者进行常规健康教育的同时实施家属同步教育,能降低患者的疾病不确定感,且干预时间越长效果越好。
Objective To discuss the effect of family members' sync education on uncertainty in illness in maintenance hemodialysis patients.Methods From February 2010 to December 2011,a total of 164 patients with Chronic renal failure and maintenance hemodialysis were divided into observation group and control group,with 82 patients in each group.Both of the groups received routine health education,and the observation group took additional family members' sync education.All subjects were asked to accomplish the Mishel's Uncertainty in illness Scale pre-hemodialysis,the end of one month and three month in the process of maintenance hemodialysis respectively.Results The main score of uncertainty in illness is relatively high(71.80±6.58) pre-hemodialysis,and no significant difference was found between the two groups(P>0.05).The total score of uncertainty in illness showed significant differences at the end of one month and three month in the process of maintenance hemodialysis(P<0.05).Interaction effect was found between time factor and interventions.Conclusion The routine health education and family members' sync education can significantly decrease the uncertainty in illness among patients with Chronic renal failure and maintenance hemodialysis.The longer the intervention persists,the better the effect will be.
Objective To discuss the effect of family members' sync education on uncertainty in illness in maintenance hemodialysis patients.Methods From February 2010 to December 2011,a total of 164 patients with Chronic renal failure and maintenance hemodialysis were divided into observation group and control group,with 82 patients in each group.Both of the groups received routine health education,and the observation group took additional family members' sync education.All subjects were asked to accomplish the Mishel's Uncertainty in illness Scale pre-hemodialysis,the end of one month and three month in the process of maintenance hemodialysis respectively.Results The main score of uncertainty in illness is relatively high(71.80±6.58) pre-hemodialysis,and no significant difference was found between the two groups(P>0.05).The total score of uncertainty in illness showed significant differences at the end of one month and three month in the process of maintenance hemodialysis(P<0.05).Interaction effect was found between time factor and interventions.Conclusion The routine health education and family members' sync education can significantly decrease the uncertainty in illness among patients with Chronic renal failure and maintenance hemodialysis.The longer the intervention persists,the better the effect will be.
引文
[1]李金秀.血液透析患者疾病不确定感调查分析[J].右江医学,2011,39(6):784-786.
[2]Mishel M H.Uncertainty in illness scales manual[M].ChapleHill:The University of North Carolina at ChapelHill,1997:98.
[3]Liao M N,Chen M F,Chen S C,et al.Uncertainty andanxiety during the diagnostic period for women with sus-pected breast cancer[J].Cancer Nurs,2008,31(4):274-283.
[4]Mishel M H.Uncertainty in illness[J].Image J NursScholarship,1988,20(4):225-232
[5]刘丽,矫健梅.家属强化教育对维持性血液透析患者自我管理能力的影响[J].解放军护理杂志,2011,28(9A):12-14.
[6]许淑莲,黄秀梨.Mishel疾病不确定感量表之中文版测试[J].护理研究(台湾),1996,4(1):59-68
[7]张晖,王瑞霞,王爱田,等.肝硬化患者疾病不确定感状况及其影响因素[J].解放军护理杂志,2010,27(8A):1141-1143.
[8]宁云凤.血液透析患者自我管理能力调查分析[J].解放军护理杂志,2011,28(6A):19-21.
[9]叶亚芹,陈黎明.家庭干预对糖尿病患者生活质量的影响[J].护理研究,2007,21(8C):2252-2253.
[2]Mishel M H.Uncertainty in illness scales manual[M].ChapleHill:The University of North Carolina at ChapelHill,1997:98.
[3]Liao M N,Chen M F,Chen S C,et al.Uncertainty andanxiety during the diagnostic period for women with sus-pected breast cancer[J].Cancer Nurs,2008,31(4):274-283.
[4]Mishel M H.Uncertainty in illness[J].Image J NursScholarship,1988,20(4):225-232
[5]刘丽,矫健梅.家属强化教育对维持性血液透析患者自我管理能力的影响[J].解放军护理杂志,2011,28(9A):12-14.
[6]许淑莲,黄秀梨.Mishel疾病不确定感量表之中文版测试[J].护理研究(台湾),1996,4(1):59-68
[7]张晖,王瑞霞,王爱田,等.肝硬化患者疾病不确定感状况及其影响因素[J].解放军护理杂志,2010,27(8A):1141-1143.
[8]宁云凤.血液透析患者自我管理能力调查分析[J].解放军护理杂志,2011,28(6A):19-21.
[9]叶亚芹,陈黎明.家庭干预对糖尿病患者生活质量的影响[J].护理研究,2007,21(8C):2252-2253.