摘要
目的探讨基于ITHBC理论的健康教育对维持血液透析患者自我管理行为的影响。方法通过便利抽样的方法选取2019年1~10月于我院血液净化科进行维持血液透析且符合排纳标准的90例患者为研究对象,随机分为对照组和干预组。对照组接受常规护理管理和健康教育,干预组接受常规护理和给予ITHBC理论的健康教育。比较两组干预前、干预12周和干预24周后疾病相关实验室指标、自我管理行为以及服药依从性水平。结果干预24周干预组血磷、血钾水平低于对照组,差异有统计学意义(P<0.05);两组患者自我管理行为得分在干预主效应、时间效应和交互效应方面均有统计学意义(P<0.05),干预12周和24周后,干预组自我管理行为得分高与对照组,差异有统计学意义(P<0.05);干预24周后,两组患者服药依从性,差异有统计学意义(P<0.05)。结论基于ITHBC理论的健康教育可以激发维持性血液透析患者患者自我管理的主动性,帮助患者构建健康的自我管理行为,合理控制饮食维持体内电解质平衡,提升疾病认知而加强服药依从性。
Objective To explore the impact of health education based on ITHBC theory on self-management behaviors of maintenance hemodialysis patients.Methods By convenience sampling,90 patients who underwent maintenance hemodialysis in our hospital's blood purification department from January to October 2019 and met the exclusion criteria were selected as the research objects,and they were randomly divided into control group and intervention group.The control group received conventional nursing management and health education,and the intervention group received conventional nursing and given ITHBC theory health education.The disease-related laboratory indicators,self-management behavior,and medication compliance levels were compared between the two groups before intervention,12 weeks after intervention,and 24 weeks after intervention.Results After 24 weeks of intervention,the blood phosphorus and potassium levels of the intervention group were lower than those of the control group,the difference was statistically significant(P<0.05);the two groups of patients’self-management behavior scores were statistically significant in terms of intervention main effects,time effects and interaction effects(P<0.05).After 12 and 24 weeks of intervention,the self-management behavior score of the intervention group was higher than that of the control group,the difference was statistically significant(P<0.05);After 24 weeks of intervention,there was a statistically significant difference in medication compliance between the two groups(P<0.05).Conclusion Health education based on ITHBC theory can stimulate self-management of patients with maintenance hemodialysis,helped patients build healthy self-management behavior,reasonably controlled diet to maintain electrolyte balance in the body,improved disease awareness and strengthened medication compliance.
作者
王帅
WANG Shuai(Department of Blood Purification,the Second Hospital of Tianjin Medical University,Tianjin 300211,China)
出处
《医学信息》
2020年第17期81-84,共4页
Journal of Medical Information
关键词
维持血液透析
ITHBC理论
健康教育
自我管理
服药依从性
Maintenance of hemodialysis
ITHBC theory
Health education
Self-management
Medication compliance
