A Clinical Study Of Healthy Education Effect On Patient Activation With Chronic Kidney Disease

Object ive:Due to the course of a long and repeated, multiple complications coming, patients with chronic kidney disease (CKD) need to learn healthy education to correct and improve their psychological status or lifestyle. CKD patients are more likely to suicide than the normal, rates as high as 10 to 25 times. The rate of depressive symptoms with CKD patients is 84.88%. So the application of healthy education in CKD patients is necessary. The Patient Activation Measurement (PAM) is reported to improve their self management actions. It can be used as an evaluation indicator of healthy education efficacy. This study has observed the effect of PAM scores in condition of healthy education only given to the intervention group. The impact factor has been explored further more.MethodThis study is a prospective non-randomized controlled research,66 cases are enrolled in this study, patients are divided into two groups, the control group(n=31) and the intervention group(n=35).Two groups are given the same routine drugs treatment, while healthy education added to the intervention group. Both groups are kept on treating for 6 months. The PAM sores, kidney function(SCR, BUN), and the blood pressure are observed and compared at the same time. Database has been established. Spss 17.0 is uesd as a statistic tool,The result of differences has statistical significance with P<0.05.ResultsThe PAM sores are (40.71±4.44) points. The control group is (41.29±2.29)points while (40.18±5.73)points in the intervention group. Compared with contro] group, the PAM sores are improved in the intervention group. The result of differences between before and after treatment has statistical significance with P<0.05.Further more, different ways of healthy education in he intervention group have effect on the PAM sores, specially in the way of mission coordinated with adjusted diet.Thirdly, the data slows the intervention has affected the glomerular filtration rate (eGFR) (P<0.05). Compared with simple mission, live mission coordinated with adjusted diet and lectures, have statistical significance of eGFR with LSD method binary comparison.There is no difference between before and after treatment in blood pressure control (P>0.05).ConclusionHealthy education can improve CKD patients activation. Patients gets more benefits from healthy education with the help of mission coordinated with adjusted diet. But without the evidence indicates that the advantage in blood pressure control.