Research On The Effect Of Family Follow-up Service On Quality Of Life In Patients With Maintenance Hemodialysis

ObjectiveThis study aims to understand the status of maintenance hemodialysis patients’quality of life, to explore the effect of family follow-up service on the quality of lifeand self-management behaviors in maintenance hemodialysis patientsMethodsIn this study,62clients were selected from the hemodialysis center of a hospitalin Changchun. They were set into the control group and the intervention groupaccording to the hemodialysis plan, each were31clients. Both of the two groups weregiven general care, and they were attended by their families. On this basis, theintervention group received follow-up service. The patients received family follow-upone time and telephone follow-up three times or more each month. The interventionlasted for5months, family follow-up intervention lasted for no less than an hour eachtime. The interventions includes health education, diet education, weight monitoring,psychological care and so on. All of the clients were given the WHOQOL-BREF andthe self-management behavior scale before and after the intervention. They were alsogiven the general information questionnaire before the intervention. We established adatabase with Excel2003and analyzed the data with SPSS17.0.Results(1) Before the intervention, the quality of life score of the control group was83.32±16.35, the intervention group was87.02±15.19, the difference was notstatistically significant (P>0.05); After the intervention, the quality of life score of thecontrol group was84.73±15.48, the intervention group was101.03±16.32, thedifference was statistically significant (P <0.001).. (2) There was no statistical significance(P>0.05) on the scores of each field oftheir quality of life before the intervention.There was great significance(P <0.001) onthe scores of each field after the intervention after the intervention, especially in thephysiology, psychology and social relations fields(P <0.001).(3)Before the intervention, the self-management score of the control group was78.78±11.03the intervention group was80.74±11.52, the difference was notstatistically significant (P>0.05); After the intervention, the self-management score ofthe control group was77.83±11.91, the intervention group was89.48±11.18.(4)There was no statistical significance(P>0.05) on the scores of each field ontheir self-management before the intervention.There had great significance(P <0.05)on the scores of each field after the intervention after the intervention.(5)The quality of life score of the control group was no statisticalsignificance(P>0.05),and the intervention group had great significance(P <0.05)before or after the intervention. The self-management score of the control group wasno statistical significance(P>0.05),and the intervention group had great significance(P<0.05) before or after the intervention.Conclusions(1) Maintenance hemodialysis patients’ quality of life is generally low.(2) Family follow-up service can improve the quality of life in hemodialysispatients，especially in physical, psychological and social relationships fields.(3) Maintenance hemodialysis patients’ self-management ability is generally low.(4) Family follow-up service can improve the self-management behavior inhemodialysis patients.