对门诊血液透析病人家属实施同步健康教育对病人依从性的影响

Effect of Synchronous Health Education for Family Members on Compliance of Outpatients Undergoing Hemodialysis

目的探讨对血液透析家属实施同步健康教育对病人透析依从性的影响。方法随机选取2012年1月—2013年1月科室进行血液透析的患者60例,随机分为观察组和对照组,各30例,其中观察组实施家属同步健康教育,对照组进患者进行常规健康教育,6个月后对两组患者的依从性进行分析对比。结果观察组透析方案依从率为96.7%,对照组为53.3%;观察组饮食控制良好率为90%,对照组为56.7%观察组正确用药率为83.3%,对照组为53.3%;观察组血管通路自我护理得当率为83.3%,对照组为50%;观察组运动达标率为86.7%,对照组为53.3%(P<0.05)。观察组病人的依从性明显优于对照组。结论对透析病人家属实施同步健康教育能够提高病人依从性,改善透析患者治疗效果。可以在临床中广泛应用。

Objective To explore the effect of synchronous health education for family members on compliance of outpatients undergoing hemodialysis. Methods 60 patients who underwent hemodialysis in our department during January 2012 and January2013 were randomized into observation group and control group with 30 in each group, Synchronous health education were done for the family members of the patients in the observation group, while the patients in the control group were given routine health education, and the patient compliance was compared between the two groups 6 months later. Results The patient compliance on dialysis schemes was 96.7% in the observation group and 53.3% in the control group; diet control good rate was 90% in the observation group and 56.7% in the control group; properly medication rate was 83.3% in the observation group and 53.3% in the control group; the self care rate of vascular access was 83.3% in the observation group and 50% in the control group; the movement compliance rate was 86.7% in the observation group and 53.3% in the control group. Therefore the patient compliance was better in the observation group than in the control group with statistically significant difference, P <0.05. Conclusion Synchronous health education for family members is worthy of promotion because it can improve patient compliance and lead to a better outcome.