TTM干预对维持性血液透析患者自我管理行为的影响

目的：探讨行为转变理论干预模式（ TTM干预）对维持性血液透析患者自我管理行为的效果，为促进其生活质量的提高提供理论依据。方法：将64例维持性血液透析患者随机分为对照组（32例）和干预组（32例）。对照组给予常规血液透析护理，干预组除给予常规护理外，还实施TTM干预；并在干预前和干预12周后评估和比较2组患者的自我管理行为。结果：干预组患者在TTM干预后自我管理总分及各领域得分均高于干预前，差异有统计学意义（ P＝0．000）；对照组患者自我管理各领域得分在TTM干预前后，差异无统计学意义（P＞0．05）。结论：TTM干预模式有助于提高MhD患者的自我管理水平，应在临床护理工作中加以推广和应用。

Effects of TTM Intervention on self-management behaviors of Maintenance hemodialysis Patients

Objective：To explore the theory of behavior change in maintenance hemodialysis patients self management behavior and the influence of quality of life , as to provide theoretical basis for improve the quality of life .Methods：64 patients with maintenance hemodialy-sis were randomly divided into control group and intervention group and there were 32 patients in each group .The control group given he-modialysis routine nursing care , intervention group in addition to the given routine care , also the implementation of TTM intervention;meanwhile, evaluating and comparing the self -management behaviors of these two groups before and after 12 weeks＆#39;intervention.Re-sults：Intervention group patients after intervention TTM self -management in various fields , score and total score were higher than before ,there was statistical significant（P =0.000）;control group＆#39;s self-management scores in all areas before and after TTM intervention was no significant difference （P〉0.05）.Conclusion：TTM intervention model might be helpful to improve the self -management level of MhD patients;therefore, it should be promoted and applied in clinical nursing .