在朱比利教会医学院和研究所进行的一项评估结构化教学计划对血液透析患者家庭护理管理选定方面知识水平影响的研究

Anagha P S, Anagha Sudheesh, Anjali P J, Femy Paul, Haritha T V, Helna Jose, Jomol K J, Libitha Thomas, Anila James, Philo Reshmi, A. Gnanadurai
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引用次数: 0

摘要

在朱比利教会医学院和研究所的选定病房中,评估结构化教学计划对血液透析患者家庭护理管理的选定方面的知识水平的影响。目的:本研究旨在评估血液透析患者的知识水平,比较血液透析患者在结构化教学计划前后对家庭护理管理选定方面的知识水平,并发现家庭护理管理选定方面的知识水平与选定的社会人口学临床数据变量之间的关系。研究方法:研究对象为30例血液透析患者。本研究采用前实验、组前、后测试设计,采用目的抽样方法选择样本。本研究使用的工具有2个部分:a部分社会人口统计和临床数据变量;b部分:关于血液透析患者家庭护理管理选择方面的结构化知识问卷。数据分析采用微分统计和推理统计。结果:经数据分析,有11人(36.7%)属于61-70岁年龄组。男性23例(76.6%),已婚29例(96.66%),初等教育16例(53.3%),中等教育7例(23.3%),个体经营者19例(63.3%),日薪7例(23.3%),收入低于5000元22例(73.3%),中心静脉置管18例(60%),房内瘘12例(40%)。其中19例(63.3%)自1年前开始接受治疗,22例(73.3%)自3年前开始发病。26例(86.67%)无肾脏家族史,16例(53.3%)对疾病有自我认识。在前测中,约有15个(50%)样本知识不足,11个(36.6%)样本知识中等,4个(13.33%)样本知识充足。后测27个样本(90%)知识充足,3个样本(30%)知识中等。前测知识与后测知识的比较显示,后测知识平均得分8(28.13%)高于前测知识平均得分4(14.23%)。健康教育的有效性经t检验,p<0.01。测验前的知识水平与选定的社会人口学和临床数据变量之间没有显著的关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Study to assess the effect of Structured Teaching Program on Level of Knowledge regarding selected aspects of Home Care Management among patients undergoing Hemodialysis in Jubilee Mission Medical College and Research Institute, Thrissur
A study to assess the effect of structured teaching progamme on level of knowledge on selected aspects of home care management of patients undergoing hemodialysis in selected wards of Jubilee Mission Medical College and Research Institute. The Objectives: Of the study were to assess the level of knowledge of patients undergoing hemodialysis, to compare the level of knowledge on selected aspects of home care management among patients undergoing hemodialysis before and after structured teaching program and to find the association between the level of knowledge on selected aspects of home care management with selected socio demographic clinical data variables. Research Methodology: The study was conducted among 30 patients undergoing hemodialysis. The research design was pre-experimental one group pretest posttest design and sample was selected by purposive sampling techniques. The tool used for the study had 2 section: Section A-Socio demographic and clinical data variables; Section B-Structured knowledge questionnaire on selected aspects of home care management of patients undergoing haemodialysis. Data analysis was done using differential and inferential statistics. Results: On data analysis it reveals that 11(36.7%) belongs to the age group of 61-70 years. 23(76.6%) samples are males, 29(96.66%) samples are married, 16(53.3%) sample have only primary education, 7(23.3%) subjects have secondary education, 19(63.3%) are self employed, 7(23.3%) of subjects go for daily wage, 22(73.3%) of subjects have income less than 5000,18(60%) subjects have central venous catheter, 12(40%) subjects have AV fistula for dialysis. Most of the subjects 19(63.3%) are under treatment since 1 year ago and 22(73.3%) subjects have illness since 3 year ago. 26(86.67%) subjects does not have family history of renal disease and 16(53.3%) subjects have self knowledge about disease. In pretest about 15(50%) of samples have inadequate knowledge, 11(36.6%) have moderate knowledge and 4(13.33%) have adequate knowledge. In posttest 27(90%) of samples have adequate knowledge and 3(30%) have moderate knowledge. On comparison of pretest and post test knowledge it reveals that mean post test knowledge score 8(28.13%) was higher than mean pretest knowledge score 4(14.23%). Effectiveness of the health education was tested by t test, which revealed that it was effective at p<0.01. There was no significant association between pretest level of knowledge and selected socio demographic and clinical data variables.
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