个体化健康教育在边远山区居家腹膜透析患者中的应用.docx

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个体化健康教育在边远山区居家腹膜透析患者中的应用

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【摘要】目的：探讨个体化健康教育在边远山区居家腹膜透析患者中的应

用及效果。方法：选取2016年长期在我科随访的80例居家腹膜透析患者，用随机数字表法将患者随机分为实验组和对照组各40例。实验组实施根据病人自身情况及本地区气候条件制定的个体化健康教育；对照组实施常规健康教育。比较两组患者干预前后的腹膜透析相关知识和操作考核得分情况、血压情况、腹膜炎发生情况、隧道及出口处感染情况。结果：实施个体化健康教育后的病人腹膜透析相关知识问卷得分提高（p﹤0.05），操作考核得分提高（p﹤0.05），相关性腹膜炎的发生率比较差异无统计学意义（p﹥0.05）；隧道口感染率降低（p﹤0.05）；出口处感染率降低（p﹤0.05），实验组血压控制较对照组好（p﹤0.05）。结论：个体化健康教育能明显提高边远山区居家腹膜透析患者的相关知识知晓率及操作的依从性，降低患者隧道口感染及腹膜炎的发生率，提高患者生活质量。

【关键词】个体化健康教育，边远山区，居家腹膜透析,感染率，生活质量

Clinicalapplicationofinpidualizedhealtheducationinhomeperitonealdialysispatientsfromremotemountainareas

ChenLi,ZengXing-Rong,XieChao-Fang,YeXiao-Fang,HuDan

NephrologyDepartmentOfPanzhihuaCentralHospital,SichuanProvince,617067

[Abstracts]ObjectiveToexploretheapplicationandeffectofinpidualizedhealtheducationinhomeperitonealdialysispatientsfromremotemountainareas.MethodDuringthelong-termfollow-upin2016,80casesofadoptingthehomeperitonealdialysispatientswhohadlongbeenfollowed-upinourdepartmentin2016wereselected.Thesubjectswererandomlypidedintoexperimentalgroupandcontrolgroupbyrandomdigitaltablemethod,40caseseachgroup.Theexperimentalgroupadoptedtheinpidualizedhealtheducationaccordingtothepatient’sconditionandthelocalweatherconditions;thecontrolgroupadoptedtheconventionalhealtheducation.Beforeandafterinterventions,thepatient’sevaluationscoresofrelateddialysisknowledge,theoperationalexaminationscores,thebloodpressure,theincidencerateofperitonitisaswellastheinfectionrateofthechannelsandtheoutletBothgroupsreceivedthesamemedicalteamtreatmentandhealtheducation,suchasstandardliquidexchangeoperation,exitnursing,exercise,regularreview,anddietnursing.Inpidualhealtheducationbasedonthepatientsownsituationandtheclimateconditionsintheregionwereimplementedontheexperimentalgroup;Routin