TTM干预对维持性血液透析患者自我管理行为的影响

Effects of TTM Intervention on self- management behaviors of Maintenance hemodialysis Patients

目的:探讨行为转变理论干预模式(TTM干预)对维持性血液透析患者自我管理行为的效果,为促进其生活质量的提高提供理论依据。方法:将64例维持性血液透析患者随机分为对照组(32例)和干预组(32例)。对照组给予常规血液透析护理,干预组除给予常规护理外,还实施TTM干预;并在干预前和干预12周后评估和比较2组患者的自我管理行为。结果:干预组患者在TTM干预后自我管理总分及各领域得分均高于干预前,差异有统计学意义(P=0.000);对照组患者自我管理各领域得分在TTM干预前后,差异无统计学意义(P>0.05)。结论:TTM干预模式有助于提高MhD患者的自我管理水平,应在临床护理工作中加以推广和应用。

Objective：To explore the theory of behavior change in maintenance hemodialysis patients self management behavior and the influence of quality of life , as to provide theoretical basis for improve the quality of life .Methods：64 patients with maintenance hemodialy-sis were randomly divided into control group and intervention group and there were 32 patients in each group .The control group given he-modialysis routine nursing care , intervention group in addition to the given routine care , also the implementation of TTM intervention;meanwhile, evaluating and comparing the self -management behaviors of these two groups before and after 12 weeks＆#39;intervention.Re-sults：Intervention group patients after intervention TTM self -management in various fields , score and total score were higher than before ,there was statistical significant（P =0.000）;control group＆#39;s self-management scores in all areas before and after TTM intervention was no significant difference （P〉0.05）.Conclusion：TTM intervention model might be helpful to improve the self -management level of MhD patients;therefore, it should be promoted and applied in clinical nursing .