护士主导的强化健康指导对慢性肾衰竭高磷血症患者的影响

Effects of a nurse-led intensive education program on chronic renal failure patients with hyperphosphatemia

目的探讨由护士主导的干预模式对慢性肾衰竭(CRF)血液透析高磷血症患者的影响。方法便利选取80例CRF透析高磷血症(血磷>1.78mmol/L)患者为研究对象,将80例患者按照单双数分组,单数为试验组,双数为对照组,每组40例。对照组只接受常规护理指导,试验组患者在常规护理的基础上同时接受由护士提供的强化健康指导,健康指导后3个月、6个月评价干预效果。结果重复测量的方差分析结果显示,3个月、6个月后,试验组患者血磷、钙磷乘积下降与对照组比较差异均有统计学意义(P<0.01),但两组在血钙、白蛋白方面比较,差异无统计学意义(P>0.05);试验组相关知识总分及各维度得分均高于对照组,差异均有统计学意义(P<0.01)。结论由护士主导的健康教育模式在CRF患者高磷血症的控制中起到了积极的作用。

Objective To explore the effects of a nurse-led intensive education program on chronic renal failure（CRF） patients with hyperphosphatemia. Methods Eighty CRF patients with hyperphosphatemia were randomly assigned into experimental group（n=40） and control group（n=40）. The patients in the experimental group received nurse-led intensive education,while the patients in the control group received routine guidance. The effects were evaluated at the 3rd month and 6th month after intervention. Results Repeated-measures ANOVA showed that the level of serum phosphorus,calciumxphosphorus products in the experimental group were significanlty lower than that in the control group（P〈0.01） after 3-and 6-month intervention. The patients＇ general knowledge in the experimental group was sigtnificanlty higher than that in the control group（P〈0.01）,but no significant differences were found in the level of serum calcium and albumin （P〉O.05 ）. Conclusion The nurse-led intensive eudueation program plays a positive role in the disease control of CRF patients with hyperphosphatemia.