血液透析患者液体管理训练对其液体控制技能、透析前后干重和生活质量的影响

Tuba Karabey, Şerife Karagözoğlu
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摘要

目的:本研究旨在评估血液透析患者液体管理训练对其液体控制技能、透析前后干重和生活质量的影响。材料和方法:本实验和横断面研究旨在评估血液透析患者液体管理训练对其液体控制技能、透析前和透析后干重和生活质量的影响。该研究涉及2016年在血液透析部门接受透析的80名患者。其中,采用简单随机抽样的方法将40名患者分为干预组,40名患者分为对照组。采用患者信息表、体液控制表和简表-36生活质量量表。收集的数据采用SPSS 22.0软件包程序进行分析。统计分析采用卡方检验、弗里德曼检验和Mann-Whitney U检验。结果:我们的研究结果显示,干预组患者最近两次连续随访的液体摄入量与观察前相比,有统计学意义上的显著下降,透析前和透析后的干重均有所下降,随着液体控制的改善,患者的生活质量也有所提高。结论:对血液透析患者进行体液管理训练对患者的体液控制能力、透析前后干重和生活质量均有积极影响。
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The Effects of Fluid Management Training Given to Hemodialysis Patients on Their Fluid Control Skills, Pre- and Post-Dialysis DryWeights and Quality of Life
ABS TRACT Objective: The study was conducted to assess the effect of fluid management training given to hemodialysis patients on their fluid control skills, pre-and post-dialysis dry weights and quality of life. Material and Methods: This experimental and cross-sectional study was conducted to assess the effect of fluid management training given to hemodialysis patients on their fluid control skills, preand post-dialysis dry weights and quality of life. The study involved 80 patients who underwent dialysis in the Hemodialysis Unit in 2016. Of them, 40 were assigned to the intervention group and 40 were assigned to the control group using the simple random sampling method. The Patient Information Form, the Fluid Control and the Short Form-36 Quality of Life Scale were used. The data collected were analyzed using the SPSS 22.0 package program. For the statistical analysis, the Chi-Square, Friedman’s test and Mann-Whitney U test were used. Results: Our result showed that the fluid intakes of the patients in the intervention group in the last two consecutive follow-ups decreased statistically significantly compared to their pre-observation fluid intakes, that there was a decrease in their pre-and postdialysis dry weights and that their quality of life increased as their fluid control improved. Conclusion: Fluid management training given to the hemodialysis patients positively affected their fluid control skills, pre-and post-dialysis dry weights and quality of life.
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