实施家属健康教育对持续性非卧床腹膜透析病人生活质量的影响

目的 评估持续性非卧床腹膜透析(CAPD)患者的生活质量状况,探讨对CAPD患者家属同步实施健康教育对病人生活质量的影响.方法 选择稳定的CAPD 3个月以上居家腹透的患者86例,用随机数字表法,分为实验组44例和对照组42例.对照组按常规腹膜透析和护理,实验组在此基础上,由腹透护士定期家访和电话访问的形式进行家庭护理干预;每周1次,每次30～40 min,持续时间为6个月.结果 实验组病人的生活质量高于对照组(P＜0.05);组内比较,实验组总体生活质量高于干预前(P＜0.05),差异有统计学意义.结论 对CAPD患者家属同步实施健康教育,可提高患者及家属的知识指数和认识水平,提高病人生活质量.

Efiect of family member health education on the patients' quality of life with long-enduring non-bed peritoneal dialysis

Objective To appraise the survival quality of patients with long - enduring non - bed peritoneal dialysis ( CAPD)， discuss the influence of the synchronizing health education to the CAPD patient family members on the patient quality of life. Methods 86 stable CAPD cases having received peritoneal dialysis for more than 3 months at home were selected. With the stochastic table law， divide them into the experimental group 44 cases and the control group 42 cases. The control group received the conventional peritoneal dialysis and nursing， while the experimental group， on the basis of that， also received the family nursing intervention， by means of the nurse regular family visit and telephone visit， once a week， each time ranging from 30 to 40 minutes for 6 months. Results The patient's quality of life in the experimental group is higher than that in the control group (P < 0. 05 ). In the same group， the overall quality of life in the experimental roup is higher than that before the intervention (P < 0. 05)， there is statistical difference. The peritonitis incidence in the two groups is less than 1/24 per patient month， which is in accordance with literature report. Conclusion The synchronizing health educa-tion to the CAPD patient family members may enhance the patient and family member's knowledge index and the level of understanding， improve the patient quality of life.