目的 探讨诱导期血液透析的路径化健康教育对慢性肾衰竭患者身心健康的影响.方法 选取2010年1月-2011年8月在泸州市人民医院和泸州市中医医院就诊的诱导期血液透析患者107例.按住院号尾号单双数分为试验组52例和对照组55例,试验组进行诱导透析期路径化健康教育,对照组按常规护理.比较两组患者入组时基本情况、开始透析时、透析后1个月及透析后3个月的血肌酐、内生肌酐清除率、血红蛋白、血清清蛋白水平及焦虑、依从性情况.结果 两组患者入组时的年龄、性别、文化程度、血肌酐、内生肌酐清除率间差异均无统计学意义(P＞0.05),而透析后1个月两组焦虑评分间差异有统计学意义(P＜0.05)；透析后3个月两组的血肌酐、内生肌酐清除率、血红蛋白、血清清蛋白水平及依从性差异均有统计学意义(P＜0.05).结论 加强诱导透析期路径化健康教育可使慢性肾衰竭患者把握透析时机,适时透析,有效提高患者透析后的生活质量.%Objective To evaluate the effects of pathway health education to patients with chronic renal failure ( CFR) during hemodialysis induction period. Methods A total of 107 CRF patients who were in their hemodialysis induction period between January 2010 and August 2011 in Luzhou People's Hospital and Luzhou Hospital of Traditional Chinese Medicine were included in the study. The subjects were divided into a study group (52) and a control group (55) according to their hospital admission number (even or odd). The study group was provided with pathway health education, and the control group was given conventional care. Baseline data, creatinine clearance, levels of serum creatinine, hemoglobin and albumin, anxiety and compliance at the start of hemodialysis, one month later, and three months later were compared. Results No significant difference was observed in age, sex, education level, serum creatinine level and creatinine clearance at baseline betweeli the two groups ( P > 0. 05 ) . After one month of dialysis, anxiety scores showed difference between the two groups ( P < 0. 05 ). After three months of dialysis, creatinine clearance, levels of serum creatinine, hemoglobin and albumin, and compliance were significantly different between the two groups (P < 0. 05) . Conclusion Pathway health education during hemodialysis induction period can lead CRF patients to timely and effective dialysis, and can improve the patients' quality of life.
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