一项针对血液透析充分性和透析间期体重增加个体化患者教育的随机对照临床试验。

Journal of caring sciences Pub Date : 2024-10-22 eCollection Date: 2025-02-01 DOI:10.34172/jcs.025.33604
Seyyede Leila Sajjadi, Mansour Ghafourifard, Hamid Tayebi Khosroshahi
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引用次数: 0

摘要

导言:今天,在教育和护理中强调考虑患者的个人需求和偏好。本研究旨在评估个体化教育对血液透析(HD)患者血液透析充分性(Kt/V)和透析间期体重增加(IDWG)的影响。方法:102例HD患者随机分为干预组和对照组。干预组51例患者接受个体化教育。对照组51例接受常规教育。患者透析充分性(Kt/V)和IDWG分别在干预前、立即和最后一次个体化教育后三个月进行评估。数据采用SPSS软件进行分析。结果:干预组在干预后即刻和3个月Kt/V较对照组显著升高(ppp)。结论:该结果突出了个体化教育对改善HD患者充分性和降低HD患者IDWG的重要性。此外,建议根据患者的需要量身定制教育,而不是一刀切的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Randomized Controlled Clinical Trial of Individualized Patient Education on Hemodialysis Adequacy and Interdialytic Weight Gain.

Introduction: Today, there is an emphasis on considering the individual needs and preferences of the patient in education and care. This study aims to assess the effect of individualized education on hemodialysis adequacy (Kt/V) and interdialytic weight gain (IDWG) in patients undergoing hemodialysis (HD).

Methods: 102 HD patients were randomly assigned to the intervention or control groups. Patients in the intervention group (n=51) received individualized education. The control group (n=51) received routine education. The patients' dialysis adequacy (Kt/V) and IDWG were assessed before the intervention, immediately, and three months after the last session of individualized education. Data were analyzed using SPSS software.

Results: A significant increase in Kt/V was found in the intervention group compared with the control group immediately and three months after the intervention (P<0.05). Moreover, the mean total score of IDWG in the intervention group was significantly lower than the control group immediately and three months after the intervention (P<0.05).

Conclusion: The results highlighted the importance of individualized education for improving HD adequacy and lowering IDWG in HD patients. Moreover, it is recommended to tailor the patients' education based on their own needs, rather than a one-size-fits-all approach.

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