自我管理教育对维持性血液透析患者的影响

目的探讨维持性血液透析患者实施自我管理教育后对其生活质量的影响。方法将2010年12月--2011年11月在本中心接受维持性血液透析的124例患者设为观察组，2009年12月--2010年11月在本中心接受维持性血液透析的118例患者设为对照组。对照组实施常规健康知识宣教，观察组在健康教育的基础上进行自我管理教育。结果观察组行自我管理教育后其效果与对照组相比较具有统计学差异（P〈0．01），观察组患者增强了自我保健意识，提高了自我管理能力，减少了并发症的发生。结论自我管理教育可以提高血液透析患者的自我管理能力，提高其生活质量及透析质量。

Effect of self-management education on patients with maintenance hemodialysis

Objective To explore influence of self-management education on life quality of the patients with maintenance hemodialysis. Methods 124 patients with maintenance hemodialysis from December 2010 to November 2011 were designed as observation group, and 118 patients with maintenance hemodialysis from December 2009 to November 2010 were designed as control group. Control group was conducted with conventional health education while observation group was con- ducted with self-management education on the basis of control group. Results After the implemen- tation of self-management education in observation group, there were statistical differences between two groups（P 〈 0.01）, and in observation group, the patients enhanced their awareness of self health care and improve their abilities of self-management, the complications reduced as well. Con- clusion Self-management education can improve the hemodialysis patients＇ self-management abili- ties, their life qualities and dialysis qualities.