阶段式自我管理教育对动静脉内瘘成形术患者自我护理能力的影响

目的:探讨阶段式自我管理教育对动静脉内瘘成形术患者自我护理能力的影响.方法:对48例动静脉内瘘成形术患者进行阶段式自我管理教育,于出院时、出院后1个月和3个月采用自行设计内瘘自我护理知识掌握情况调查表和自我护理能力实施量表(ESCA)评估患者的自我护理能力.结果:本组患者自我护理知识掌握情况:出院当天掌握13例(27.08%),基本掌握19例(39.58%),未掌握16例(33.33%);出院后1个月掌握31例(64.58%),基本掌握17例(35.42%);出院后3个月掌握46例(95.83%),基本掌握2例(4.17%).患者出院时、出院后1个月和3个月内瘘自我护理知识掌握情况调查表评分及ESCA评分比较差异有统计学意义(P＜0.01).结论:阶段式自我管理教育能有效提高动静脉内瘘成形术患者的自我护理能力,值得临床推广应用.

Impact of staged education of self management on the self-care ability of patients undergoing internal arteriovenous fistula operation

Objective: To explore the impact of staged education of self management on the self-care ability of patients undergoing internal arteriovenous fistula operation.Methods: The staged education of self management was given to 48 patients with internal arteriovenous fistula operation.The self-designed questionnaire on grasp of self-care knowledge and ESCA were used to assess patient self-care ability respectively at discharge,one and three months after discharge.Results: On the right day at discharge,13 patients grasped the knowledge(27.08%),19 patients grasped some knowledge(39.58%),16 patients did not grasp any knowledge(33.33%);one month after discharge,31 patients grasped the knowledge(64.58%),17 patients grasped some knowledge(35.42%);3 months after discharge,46 patients grasped the knowledge(95.83%),2 patients grasped some knowledge(4.17%).The differences in the comparison of the scores of grasp of self-care knowledge and ESCA were statistically significant at the different time(P<0.01).Conclusion:The staged education of self management can effectively enhance the self-care ability of patients with internal arteriovenous fistula operation.