自我管理在肾移植患者中的应用及效果评价

Evaluation of self management application in the renal transplant patients

目的探讨自我管理在肾移植患者术后门诊随访的应用及效果评价。方法选择门诊复诊的肾移植患者94例,随机分为对照组及观察组,分别有46、48例,观察组采用自我管理,对实施后患者采用自我管理量表、健康知识调查量表、生活质量评价量表等进行评价。结果实施自我管理后,观察组患者饮食、治疗、躯体活动、社会心理较对照组均有显著性升高(P<0.05),患者饮食基本知识、自我病情监测、药物应用知识较对照组有显著性升高(P<0.05),患者认知能力、心理及情绪、体质的评价较对照组有显著性升高(P<0.05),药物不良反应未见显著性差异(P>0.05)。结论自我管理是提高肾移植患者自我管理水平、健康知识及改善生活质量的重要方法,值得在该类患者中推广。

Objective To investigate the effects of self-management in patients with renal transplantation sur-gery.Methods 94 outpatients with renal transplantation were randomly divided into control group and observa-tion group,there were 46 and 48 cases,the observation group accepted the self management,after that self manage-ment scale,health survey scale,life quality evaluation scale were used to evaluated the status of patients.Results After implementation of self-management,the observation group patients’diets,treatment,physical activity,social psychology than the control group were significantly higher （P〈0.05）,basic knowledge,self condition monitoring patients diet,drug application knowledge than the control group were significantly higher （P〈0.05）,patients’cog-nitive ability,psychological and emotional,physical than in the control group significantly higher（P〈0.05）,ad-verse drug reactions did not see significant difference （P〈0.05）.Conclusion self management is powerful to im-prove the kidney transplant patients self-management level,health knowledge and the important method to improve the quality of life,which is worth popularizing in these patients.