健康赋权理论在维持性血液透析中的应用价值

The Value of Health Empowerment Theory in Maintenance Hemodialysis

目的探讨健康赋权理论对维持性血液透析患者自我效能及治疗依从性的影响。方法选取医院2017年12月-2018年11月的维持性血液透析患者70例,随机分为试验组和对照组,每组35例,对照组进行常规的治疗、护理及宣教等;试验组在对照组的基础上采用健康赋权理论进行干预。对比分析两组干预前后采用GSES评分及干预后的依从性情况。结果干预前,两组的GSES评分对比,差异无统计学意义(P>0.05)。两组干预后的GSES评分均高于干预前,差异均有统计学意义(P<0.05)。干预后,试验组的GSES评分(31.26±5.01)显著高于对照组(23.79±4.89),差异有统计学意义(P<0.05)。干预3个月后,试验组的依从性率为94.28%,显著高于对照组65.71%,差异有统计学意义(P<0.05)。结论健康赋权理论可以提高患者的自我效能及治疗依从性,是一种优秀的干预方法,值得应用于维持性血液透析患者的治疗过程。

Objective To explore the effect of health empowerment theory on self-efficacy and treatment compliance of maintenance hemodialysis patients.Methods From December 2017 to November 2018,70 patients with maintenance hemodialysis in our hospital were randomly divided into experimental group and control group,35 cases in each group.The control group was received routine treatment,nursing and education.The experimental group was used health empowerment theory to intervene on the basis of the control group.Comparisons were made between the two groups before and after intervention with GSES score and compliance after intervention.Results Before the intervention,there was no significant difference in GSEs between the two groups(P>0.05).The GSEs score of the two groups after intervention was higher than that before intervention(P<0.05).After intervention,GSEs score of the experimental group(31.26±5.01)was significantly higher than that of the control group(23.79±4.89),the difference was statistically significant(P<0.05).After 3 months of intervention,the compliance rate of the experimental group was 94.28%,significantly higher than that of the control group 65.71%(P<0.05).Conclusion Health empowerment theory can improve patients'self-efficacy and treatment compliance.It is an excellent intervention method and is worth applying to the treatment process of maintenance hemodialysis patients.