知信行模式对维持性血液透析病人血磷控制自我效能和遵医行为的影响

Effect of knowledge,belief and practice model on blood phosphorus control self-efficacy and medical compliance behavior of maintenance hemodialysis patients

[目的]探讨知信行模式健康教育对维持性血液透析病人血磷控制自我效能和遵医行为的影响,为临床血磷管理提供参考。[方法]选择2018年1月—2018年6月我院透析中心维持性血液透析(MHD)病人146例,按随机数字表法分为两组各73例,对照组采用常规健康教育方法,观察组采用知信行模式进行健康教育,比较两组病人干预前、干预后3个月、干预后6个月的血磷代谢知识水平、血磷控制自我效能和遵医行为,以及血清磷和清蛋白值、血磷达标率。[结果]干预后3个月、6个月两组血磷代谢知识、血磷控制自我效能和遵医行为得分比较差异有统计学意义(P<0.05);观察组血磷值低于对照组,两组比较差异有统计学意义(P<0.05);干预后3个月、6个月观察组血磷达标率(49.3%、65.7%)均高于对照组(38.4%、49.3%),两组比较差异有统计学意义(P<0.05)。[结论]知信行模式健康教育可提高维持性血液透析病人血磷控制的自我效能和遵医行为,从而提高血磷控制水平和血磷达标率。

Objective: To investigate the effect of knowledge belief and practice (KBP) health education model on blood phosphorus control self efficacy and compliance behavior of maintenance hemodialysis patients,and provide references for clinical blood phosphorus management. Methods: From January 2018 to June 2018, a total of 146 patients with maintenance hemodialysis (MHD) in dialysis center in our hospital were selected.According to the random number table method,they were divided into two groups,73 cases in each.The patients in control group received the routine health education.The patients in observation group received the KBP health education model.The blood phosphorus metabolism knowledge level, blood phosphorus control self efficacy and compliance behavior, and serum phosphorus and albumin were compared before intervention and 3 months after intervention,and 6 months after intervention. Results: There were statistically significant differences in blood phosphorus metabolism knowledge, blood phosphorus control self efficacy and compliance behavior scores between the two groups at 3 months and 6 months after intervention ( P <0.05).The blood phosphorus level in observation group was lower than that in control group.The difference between the two groups was statistically significant ( P <0.05).The blood phosphorus compliance rate (49.3%, 65.7%) in observation group at 3 months and 6 months after intervention was higher than that in control group (38.4%,49.3%).The difference between the two groups was statistically significant ( P <0.05). Conclusion: The KBP health education model can improve the blood phosphorus control self efficacy and compliance behavior of maintenance hemodialysis patients,thereby improving blood phosphorus control level and blood phosphorus compliance rate.