血液透析联合纠错式教育模式对终末期肾病患者钙磷代谢的影响

Effects of Hemodialysis Combined with Error-correcting Education on Calcium and Phosphorus Metabolism in Patients with End-stage Nephropathy

目的探讨血液透析联合纠错教育模式改善终末期肾病患者钙磷代谢的效果。方法选取2017年5月—2018年10月收治的终末期肾病患者66例,随机分为对照组和观察组各33例。给予观察组患者纠错教育模式,给予对照组常规健康教育,评价两组患者干预效果。结果干预后,观察组遵医嘱行为评分均明显高于对照组(P<0.05);观察组血清钙水平明显高于对照组,血清磷明显低于对照组(P<0.05);观察组并发症发生率3.03%低于对照组的18.18%(P<0.05)。结论在终末期肾病治疗期间,在血液透析治疗的基础上给予纠错式教育模式,有助于更好地提升患者的依从性、控制其并发症发生率、改善其钙磷代谢情况。

Objective To explore the effects of hemodialysis combined with error-correcting education model on calcium and phosphorus metabolism improvement in patients with end-stage renal disease.Methods A total of 66 patients with end-stage renal disease admitted from May 2017 to October 2018 were randomly divided into control group and observation group,33 cases in each group.During hemodialysis,the patients in the observation group were given error-correcting mode of education,and the patients in the control group were given routine health education.The intervention effects of the two groups were then evaluated.Results After the intervention,the compliant behavior scores of the observation group were significantly higher than those of the control group(P<0.05).The serum calcium levels of the observation group were significantly higher than those of the control group,the serum phosphorus levels were significantly lower than those of the control group(P<0.05)and the complication incidence rate of the observation group was 3.03%lower than that of the control group(18.18%)(P<0.05).Conclusion During the treatment of end-stage nephropathy,corrective education based on hemodialysis may help to improve patients'compliance,control the incidence of complications and improve their calcium and phosphorus metabolism.