细致化健康教育在维持性血液透析患者治疗认知度与依从性中的改善作用研究

钟元春　陈璇　黄玉梅

【摘要】 目的：研究与分析细致化健康教育在维持性血液透析患者治疗认知度与依从性中的改善作用。方法：选取2017年5月-2018年2月期间本院的76例维持性血液透析患者为研究对象，根据随机数字表法将其分为对照组38例和观察组38例。对照组进行常规健康教育，观察组则进行细致化健康教育。比较两组健康教育前后的治疗认知度与依从性、对健康教育的满意度。结果：健康教育前两组治疗认知度与依从性比较，差异均无统计学意义（P>0.05），健康教育后观察组的治疗认知度与依从性均高于对照组，对健康教育的总满意度高于对照组，差异均有统计学意义（P<0.05）。结论：细致化健康教育在维持性血液透析患者治疗认知度与依从性中的改善作用较好，更受患者认可。

【关键词】 细致化健康教育； 维持性血液透析； 治疗认知度； 治疗依从性

Improvement Effect of Meticulous Health Education in Awareness and Compliance of Patients with Maintenance Hemodialysis/ZHONG Yuanchun，CHEN Xuan，HUANG Yumei.//Medical Innovation of China，2018，15（12）：138-141

【Abstract】 Objective：To study and analyze the improvement effect of meticulous health education in awareness and compliance of patients with maintenance hemodialysis.Method：A total of 76 patients with maintenance hemodialysis in our hospital from May 2017 to February 2018 were selected as study subjects.According to the random digital table method，they were divided into control group（38 cases） and observation group（38 cases）.The control group was intervened with routine health education，the observation group was intervened with meticulous health education.The treatment awareness and compliance before and after health education，satisfaction degree for the health education of two groups were compared.Result：There were no significant differences in treatment awareness and compliance between two groups before health education（P>0.05），the treatment awareness and compliance of the observation group after health education were higher than those of the control group，the total satisfaction rates for the health education was higher than that of the control group，the differences were statistically significant（P<0.05）.Conclusion：The improvement effect of meticulous health education for the treatment awareness and compliance of patients with maintenance hemodialysis is better，and it is more accepted by the patients.

【Key words】 Meticulous health education； Maintenance hemodialysis； Treatment awareness； Treatment compliance

First-authors address：The Traditional Chinese Medicine Hospital in Meizhou City，Meizhou 514000，China

doi：10.3969/j.issn.1674-4985.2018.12.040

維持性血液透析在临床的应用率较高，患者面临长期的持续治疗，对生理及心理均造成较大不良影响，而心理情绪方面的不良波动可对患者的治疗态度造成不良影响，最终影响到患者的治疗依从性[1-2]，导致患者治疗效果及预后受到影响，因此对本类长期持续治疗的患者进行治疗依从性的改善是临床干预的重点。且治疗认知度是对患者治疗重视程度及治疗态度影响较大的一个方面，因此也是干预的重点方面[3-4]。本研究将细致化健康教育在维持性血液透析患者治疗认知度与依从性中的改善作用进行研究与分析，现报道如下。

1 资料与方法

1.1 一般资料 选取2017年5月-2018年2月期间本院收治的76例维持性血液透析患者为研究对象。纳……