Study On Effects Of Self-Management Education On Physical Activity Of Hemodialysis Patients

ObjectivesTo explore the effects of Self-management education on physical activity of hemodialysis(HD) patients, and evaluate the results from patient’s physical selfefficacy, fatigue, depression, self-management level.MethodsThe research was a quasi-experimental research. There were 80 HD patients in total, they were stochastically put into two different groups, 40 patients received routine care in the control group and 40 patients in the intervention group received Self-management education for 12 weeks, including assisting patients to know the current physical activity status, help them to identify existing problems now and meet the demand of patients on physical activity knowledge, improve their exercise self-efficacy. We compared the scores including patients, selfefficacy, fatigue, depression and self-management at the beginning and at the ending. We used many instruments such as patients, demographic questionnaire, Self-Efficacy Scale, Revised Piper Fatigue Scale, SDS,SMSH. The demographic questionaire were handed out by the researcher. We collected the data by ourselves researchers and then put them into the statistic computer software after by we checking strictly. We used the SPSS17.0 statistic software to analyse the data. All we used the statistic methods included such as description analysis, and t-test and such as Chi-square test and so on.ResultsWe selected 80 patients for the convenience of who were treating by hemodialysis, at last 5 patients were missing for some reasons of kidney transplantation operation, go to other hospital to treat, illness were serious or the patient was death that can,t finish this research, so there were 75 patients at last, there were 38 patients in our intervention group, and there were 37 patients in our control group.1. The times of non-standard STS-60 were more than those of before exercise, and the two groups were all statistical differences(P=0.000<0.01). 2. Independent t test show that there were statistically difference in patients’ physical activity self-efficacy in the pre-post intervention between two group. 3. After three months exercise, the scores of fatigue in the intervention group were lower than the patients in control group, and the two groups were all statistical differences(P=0.000<0.01). 4. After three months exercise, the scores of depression in the intervention group were lower than the patients in control group, and the two groups were all statistical differences(P=0.000<0.01). 5. After 12 weeks the four dimensions was increased compared with before from( 46.36±8.93) to( 56.68±8.83). After three months Self-management education, independent t test show that in the pre-post test between two group, there were have big difference statistically(P=0.000<0.01)in the patients’ selfgovernment ability.Conclusionself-management education program can improve patient’s sports enthusiasm 、self-efficacy、self-management and relieve patient’s fatigue and depression.