家属同步健康教育对腹膜透析患者生活质量的影响

Influence of synchronous health instruction for family members on quality of life with perit-oneal dialysis patients

目的探讨对患者家属实施同步健康教育对腹膜透析患者生活质量的影响。方法对118例尿毒症患者按照住院先后顺序编号，单号为观察组，双号为对照组，两组患者在腹膜透析初期均给予常规健康教育，观察组在此基础上对患者家属实施同步健康教育。采用SF-36生存质量表分别于腹膜透析0月和6个月测评患者生活质量。结果规律腹膜透析6个月后观察组生活质量明显高于对照组（P〈0．01），尤其在社会功能、情感职能和精神健康3个维度得到明显的改善，观察组复职率为24％明显高于对照组的11％（P〈0．05）。在组内比较，规律腹膜透析6个月后患者生活质量高于透析初始阶段（P〈0．05）。结论对家属实施同步健康教育能够显著提高患者生活质量及复职率，是一种可行的治疗途径。

Objective To approach the influence of synchronous health instruction for family members on quality of life with peritoneal dialysis patients. Method A total of 118 uremia patients were divided into observation group with odd number and control group with even numbers according to the order of hospitalization in succession. All patients were given routine health instruction in the initial stage of peritoneal dialysis. Additionaly synchronous health instruction were given for family members of patients in observation group. The quality of life in zero month and sixth month for peritoneal dialysis were analyzed by SF-36 scale. Result After six months of regular peritoneal dialysis,the quality of life in observation group were more obviously improved than control group（P 〈 0.01 ）, especially in social function, role-emotional and mental health. The 24% rehabilitation rate in observation group was significantly higher than the 11% in control group（ P 〈 0.05 ）. In observation group, the quality of life for the sixth month was more significantly improved than initial phase. Conclusion The quality of life and rehabilitation rate were obsignificantly improved by synchronous health instruction for family members and it was a feasible treatment path.