居家腹膜透析患者自我护理能力考核的实践

目的提高居家腹膜透析(PD)患者自我护理能力及改善其健康状况。方法将86例居家PD患者按门诊就诊奇偶数分为对照组与观察组各43例。对照组进行常规健康教育;观察组进行自我护理能力考核和分层次健康教育。结果3个月后观察组PD相关感染并发症发生率显著低于对照组,自我护理能力中知识、态度、行为维度及总分显著高于对照组(P<0.05,P<0.01),观察组知识及技能评分较干预前显著提高(均P<0.01)。结论对PD患者开展自我护理能力考核及分层次教育,能提高患者的自我护理能力,从而改善患者的健康状况。

Practice of self-care ability test in patients on domestic peritoneal dialysis therapy

Objective To improve self-care ability and health condition of homebased peritoneal dialysis(PD) patients. Methods A total of 86 PD patients were randomly divided into a control group and an observation group of 43 according to their even or odd admission numbers.Patients in the control group were given conventional health education,while their counterparts in the observation group received self-care ability test and stratified education. Results Compared with the control group,the incidence rate of PD-related infections was significantly lower in the observation group after 3 months,and the total score and dimension scores of know-ledge,attitude,and behavior of self-care ability were significantly higher(P<0.05,P<0.01).The scores of PD-related know-ledge and skills in the observation group were significantly improved after the intervention(P<0.01 for both). Conclusion Self-care ability test and stratified education applied to PD patients can improve their self-care ability and health condition.