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頁籤選單縮合
題名 | 血液透析患者衛教之實施與評價=The Implementation and Evaluation of Hemodialysis Patient's Education |
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作者 | 林麗珠; 曾玉鶯; | 書刊名 | 榮總護理 |
卷期 | 13:4 1996.12[民85.12] |
頁次 | 頁430-437 |
分類號 | 419.73 |
關鍵詞 | 血液透析; 體重; 磷濃度; 鉀濃度; Hemodialysis; Body weight; Potassuim; Phosphate; |
語文 | 中文(Chinese);中文(Chinese) |
中文摘要 | 血液透析衛教應依患者的需要制訂衛教手冊,以提供有關的知識,給予有計畫的指導,藉以提昇患者對該疾病的認知,進而增進自我照顧能力。目前本單位因未建立有系統的衛教手冊,自83年6月1日至83年12月31日,共取得個案13位,經統計後發現患者在兩次透析間的體重增加超過5%以上者佔33%,磷超過4.5mg/dl以上者佔35.7%,鉀超過5.5mmol/l以上者佔21.5%。本專案係採用〔血液透析患者自我照顧知識之評估問卷表〕為工具,先評估血液透析患者接受個別衛教前對自我照顧的認知情況,其結果總平均答對率為64.5%,再依患者自我照顧知識缺失的部分,配合衛教手冊給予個別指導,一個月後再行測驗,評值結果總平均答對率為85%。三個月後再評值患者於兩次透析間體重超過5%以上者下降10%,磷超過4.5mg/dl以上者下降12.4%,鉀超過5.5mmol/l以上者下降13.8%,顯示患者對自我照顧知識的認知較衛教實施前有進步且其臨床情況亦有改善。再以問卷調查患者對衛教手冊之內容,結果顯示所有患者均對衛教內容感覺滿意,可見本專案之實施,對血液透析患者自我照顧知識之提昇確有助益。但有30.7%之患者覺部分衛教內容的用詞太深,7.7%患者認為部分內容說明不清楚,本專案小組人員已就患者提出之意見修正衛衛手冊內容,並將定期評估結果。 |
英文摘要 | Hemodialysis patients need comprehensive instruction t promote the cognition of self care for their situation. Our hospital lacks such a handbook. This study reviewed 13cases of hemodialysis patients from June 1 to December 31 in 1994. We found 5% increase in body weight of 33% of the coser, phosphate of over 4.5mg/dl was detected 35.7% of the coses, and more than 5.5mmol/l of potassium was found in 21.5% of the cases. First, an assessment of the cognition of self care before teaching showed a result of 64.5%. After using the educational handbook for one month, the average score increased to 85%. Three months later 10% of those questioned has lost 5% of their body weight. A reduction of 12.4% in levels of phosphate was found in those with a phosphate level over 4.5mg/dl. Those with a potassium level over 5.5mmol/l experienced a decrease in potassium of .13.8% between hemodialysis and retesting. An impovement in the clinical condition and self care knowledge of the patients was found after educational direction. In the survey of educational content we found (1)The patients were satisfied. (2)30.7% reported difficulty with the words in the handbook.(3)7.7% complained that the explainations were not clear. @@@ |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。