阿萨姆邦古瓦哈蒂选定医院血液透析患者动态静脉瘘护理知识自学模块的影响

K. Devi, M. Sengupta
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引用次数: 0

摘要

背景:慢性肾脏疾病是一个主要的公共卫生问题。动静脉瘘(AV瘘)被认为是血液透析血管通路的金标准,基于其优越的通畅性,低并发症发生率,提高充分性,降低医疗保健系统成本,降低患者死亡风险。房内瘘失败会使患者面临透析不足的风险,这可能导致许多并发症,并增加发病率和死亡率。患者教育支持患者尽可能过上高质量的生活。它灌输耐心的自信,帮助他们采取必要的行为来达到预期的目标。目的:通过比较血液透析患者房内瘘护理的前测和后测知识得分,确定自学模块的效果。材料与方法:采用定量方法,采用实验前一组前测后测设计。本研究采用非概率方便抽样技术,选取64例房内瘘血液透析患者。研究工具为人口统计变量、自构知识问卷和自学模块。结果:研究发现,患者的后测知识平均得分(12分)显著高于前测知识平均得分(7.32分),t = 5.65 (P = 0.05)和P = 0.0001,说明自学模块对房内瘘的护理是有效的。测验前知识得分与教育状况和以往信息暴露等人口统计学变量之间存在显著相关。结论:可以进行大规模的类似研究,以更好地推广。在此基础上,研究人员得出结论,在血液透析患者中,房内瘘护理的自学模块是有效的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of self-instructional module on knowledge regarding care of arteriovenous fistula among hemodialysis patients in selected hospitals, Guwahati, Assam
BACKGROUND: Chronic kidney disease is a major public health problem. Arteriovenous fistulas (AV fistulas) are considered the gold standard for hemodialysis vascular access based on their superior patency, low complication rates, improved adequacy, lower cost to the healthcare system, and decreased risk of patient mortality. A failing AV fistula places the patient at risk for inadequate dialysis, which can lead to numerous complications and increased morbidity and mortality. Patient education support patients to live the best possible quality of life. It instills patient self-confidence to help them carry out behavior necessary to reach the desired goal. OBJECTIVE: The purpose of the study is to determine the effect of self-instructional module by comparing the pretest and posttest knowledge scores regarding care of AV fistula among hemodialysis patients. MATERIALS AND METHODS: With a quantitative approach, preexperimental one-group pretest-posttest design was adopted for the study. In this study, 64 hemodialysis patients with AV fistula were selected by using nonprobability convenient sampling technique. The tools used for the study were demographic variables, self-structured knowledge questionnaire and self-instructional module. RESULTS: The study revealed that the mean posttest knowledge score (12) was significantly higher than the mean pretest knowledge score (7.32) as evidenced by t = 5.65 (P = 0.05) and P = 0.0001, which shows that self-instructional module was effective on care of AV fistula. It also revealed that there was significant association between pretest knowledge score and selected demographic variables of educational status and previous exposure to information. CONCLUSION: A similar study can be taken on large scale for better generalization. On the basis of the findings, the researcher concluded that self-instructional module on care of AV fistula was effective among hemodialysis patients.
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