综合性健康教育对维持性血液透析患者依从性的影响

摘要

Objective:A randomized controlled trial was conducted involving 188 stable adult patients maintaining hemodialysis. The objective was to deter-mine the effect of comprehensiveness intervention on patient′s compliance. Methods:The intervention group received comprehensiveness intervention,whereas traditional health education was proved to the control group. To compare the compliance of two groups. Results:There were statistical differences in treatment compliance including treatment of times and treatment time(P<0.05),and significant differences in IDWG and serum albumin (P<0.05) between two groups. Conclusion:Comprehensiveness intervention can improve compliance,and therefore deserve clinical promotion.%目的：：探讨综合性健康促进项目对维持性血液透析患者依从性的影响。方法：将200例维持性血液透析患者等分为试验组和对照组，试验组采用综合性健康促进项目，对照组采用常规健康教育方法，比较两组患者在治疗遵从性(错过治疗次数、缩短治疗时间、Kt/V)、液体依从性(IDWG)及饮食依从性(血清磷含量、血清白蛋白)上的差异性。结果：两组患者在治疗次数、治疗时间上存在统计学差异(P<0.05)，在液体依从性及饮食依从性中的血清白蛋白依从性上存在统计学差异(P<0.05)。结论：综合性健康促进项目优于常规健康宣教，能有效改善维持性血液透析患者的依从性，值得临床推广应用。