| Research Purpose:1.Introduce SDT to self-management behavior interventions for maintenance hemodialysis patients,and combine self-management behavior intervention schemes with the characteristics of maintenance hemodialysis patients.2.To explore the impact of Based on SDT intervention programs on dialysis-related knowledge,interdialysis weight control,self-management,basic psychological needs,and biochemical indicators in patients with MHD.3.Compare the application effects of intervention programs based on SDT and conventional education programs,and provide a theoretical and practical basis for improving the self-management behavior of MHD patients.Research Results:A total of 104 hemodialysis patients were included in this study according to the exclusion criteria,and no follow-up occurred during the intervention.In this study,there were 66 males and38 females;the average age was 62.04±14.33,of which the oldest was 88 years old and the youngest was 30 years old.There are7 people with less than junior high school education,26people from high school and college,and 7 people from college or university.The longest dialysis period is 17 years and the shortest 3 months.The difference between the two groups is compared,and the gender and marital status of the two groups are compared.,Education level,monthly income per capita,employment status,primary disease,complications,and years of dialysis(grouped)are qualitative data,using the X~2 test,there is no conspicuous difference between groups(p>0.05),and the age is continuous Variables,and consistent with the normal distribution,uniform variance,using independent sample t test.The average age of the experimental group was(61.35±14.52)years,and the average age of the control group was(62.25±15.19)years.Between the experimental group and control group,There was no obvious difference(p>0.05).1.Hemodialysis Knowledge ScoreBefore the intervention,the score of the hemodialysis knowledge level in the experimental group(14.48±2.90)and the control group(14.42±1.94),There was no conspicuous difference(p>0.05),and the comparison was comparable between the groups;after intervention,the control group score(15.86±2.00),the experimental group(17.40±2.39)was higher than control group,the difference was statistical significance(p<0.05);before and after intervention,the difference of the hemodialysis knowledge score of the experimental group(2.92±2.19)was obvious than the control group(1.44±1.24),The difference was statistically significant(p<0.05).2.Self-management score(1)Comparison of self-management scores between groups before and after interventionBefore intervention,the experimental group's total self-management score(46.19±5.30),the control group's self-management total score(46.04±4.74);the experimental group's partnership dimension score(9.27±1.51),the control group's partnership dimension score(9.38±1.74);the problem-solving dimension score of the experimental group(11.84±1.59),the problem-solving dimension score of the control group(11.67±1.73);the emotion-processing dimension score of the experimental group(8.06±2.03),and the emotion-processing dimension score of the control group(7.88±2.08);The experimental group performed self-care dimension score(17.02±2.60),and the control group performed self-care dimension score(17.09±2.30),the two groups could be comparable,the difference was no obvious difference(p>0.05).After the intervention,the total self-management score of the experimental group(58.62±5.16)was higher than the total score of the control group(52.58±4.58);the partnership group score of the experimental group(12.03±1.67)was higher than that of the control group(10.90±1.59).The emotional processing dimension score of the group(10.77±2.13)was higher than the control group score(9.37±1.88);the experimental group self-care dimension score(20.42±3.16)was higher than the control group score(19.12±2.06).The experimental group and the control group were statistically significant in the total score of self-management,the dimension of partnership,the dimension of problem-solving,the dimension of emotional processing,and the dimension of performing self-care(p<0.05).(2)Comparison of self-management score difference before and after interventionBefore and after the intervention,the difference of the total of self-management score of the experimental group(12.42±3.80)was obvious than another group(6.54±1.80),the experimental group's partnership dimension score(2.77±1.65)was obvious than another group(1.51±0.82),the problem-solving dimension scores of the experimental group(3.54±2.02)was obvious than another group(1.52±0.98),and the difference between the emotional treatment dimensions of the experimental group(2.71±1.36)was obvious than another group(1.48±0.85)The difference between the self-care dimension score of the experimental group(3.40±2.04)was obvious than another group(2.01±0.98),between the experimental group and the control group,the result was statistical significance(p<0.05).3.Interdialysis weight gainBefore the intervention,the IDWG in the experimental group(2.44±0.36)and the control group(2.35±0.45)had no statistically significant difference(p>0.05).After the intervention,the IDWG in the two groups was decreased;Compared with the control group(1.85±0.59),the difference of IDWG of the experimental group(1.59±0.56)was obvious,it was statistical significance(p<0.05);the difference of IDWG of the experimental group(0.86±0.56)was higher than that of the control group(0.49±0.45),the difference between groups was statistical significance(p<0.05).4.Basic psychological needs scoreBefore the intervention,there was no statistically significant difference in the total psychological needs,autonomic dimensions,ability dimensions,and belonging dimensions(p>0.05).After the intervention,the experimental group and the control group had improved overall psychological needs scores and scores in each dimension.After the intervention,compared with the control group,the experimental group's total psychological needs scores and each dimension were statistically significant(p<0.05);before and after the intervention,compared with the control group,the difference of the experimental group's scores and each dimension was statistically significant(p<0.05).5.Biochemical indicatorsBefore the intervention,compared with the control group,the relevant biochemical indicators of the experimental group,such as NA,K,P,ALB,Hb,and BUN,and the difference was not statistical significance(p>0.05).After the intervention,the biochemical indexes of the experimental group and the control group were compared.,there was statistical significance(p<0.05);before and after the intervention,the difference of biochemical indicators of the experimental group was obvious than another group,it was the difference that was statistically significant(p<0.05).Research Conclusion:1 Based on SDT interventions can increase HD knowledge in patients with MHD.2.Based on SDT intervention programs can improve the self-management level of MHD patients and reduce the weight gain during dialysis.3.Based on SDT intervention programs can improve the basic psychological needs and improve the biochemical indicators of MHD patients. |
PDF Full Text Request