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The Effect Of Survival Quality In Maintenance Hemodialysis Patients After Families Health Education

Posted on:2013-07-06Degree:MasterType:Thesis
Country:ChinaCandidate:Y J ChengFull Text:PDF
GTID:2234330371983713Subject:Nursing
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PurposeMaintenance hemodialysis (MHD) is end-stage renal disease patients maintainlife of a safe, reliable renal replacement therapy. With the medical equipment ofescalating, the steady accumulation of clinical experience, MHD technology is alsobetter and better. How to further improve the quality of life of patients with MHD, hasbecome an important clinical dialysis treatment research. Because of variousconditions limit, at present, China’s most chronic hemodialysis patients take care ofresponsibility by patients for families, cognitive status of the family, the behavior way,including the care of patients, necessary for the treatment of patients with a directimpact effect. Strengthen the family health education, and it can effectively improvethe patient and family to hemodialysis therapy, maintain good understanding of thepsychological condition, and the patients’ diets and fluid intake, physical activity,psychological and social behavior, treatment behavior management ability to guideitself, this to ensure the adequacy of the dialysis patients MHD, reduce or avoid MHDdevelopment of complications of and development, to change bad habits, improvepatients with the quality of life of the patients have important significance. This articlethrough the grouping antitheses way, this paper discusses the implementation ofeducation to patients with family health MHD quality of life concrete influence.Methods100cases of maintenance hemodialysis patients were randomly divided into trialgroup and control group every50cases, dialysis patients in both groups duringroutine treatment at the same time to accept health education, the observation groupon the basis of family health education implementation. In patients with dialysis rule6months before and after, were used respectively to the world health organizationsurvival quality determination march (WHOQOL-BEEF), the two groups of patientssurvival quality score and record, at the same time, the two groups of patients selfevaluation management ability, blood pressure, hemoglobin, albumin, urea nitrogen,serum creatinine, the differences in. Finally the statistical analysis of all material.ResultsThe family health education implementation after the patients in the self management behavior, diet and fluid intake, treatment behavior, psychological andsocial behavior, physical activity, etc, are better than the control group (P <0.05), andthe quality of life in patients with the four areas of the score is better than the controlgroup (P <0.05), in sleep, physical fitness, health, social function, energy, sexualfunction, the improvement of the influence factors are significantly better than thecontrol group (P <0.05), blood pressure, blood creatinine index changes arestatistically significant.Conclusions1、On maintenance hemodialysis the patient’s quality of life by many kinds offactors, the decline in the quality of life. Through the implementation of the system tothe family health education, can make a patient’s own health behaviour and thetreatment of diseases of the attitude to positive aspects of transformation.2、Maintenance hemodialysis patients to family members of the health educationimplementation system is feasible and effective and very necessary, maintenancehemodialysis patients is to improve the quality of life of the important measures toimprove the patient’s apparent self management ability, and got the patient and familyto support and approval.3、Through to the maintenance hemodialysis patients implementation of healtheducation family system, help patients in the index of maintaining the normal rangeand reduce complications, thus slow the progress of the disease, improve the qualityof life of the patients.
Keywords/Search Tags:family health education, maintenance hemodialysis, survival qualiry
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