确定动静脉内瘘护理培训对血液透析患者自我护理行为的影响。

Yakup Dilbilir, Mehtap Kavurmaci
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摘要

导言目的是确定对血液透析(HD)患者进行动静脉内瘘护理培训对患者自我护理行为的影响:方法:在血液透析室进行随机对照实验研究。方法:随机对照实验研究在血液透析室进行,共有 66 名患者参加。干预组患者接受了为期 4 周的 AVF 护理教育手册培训。研究数据采用评估与 HD 患者 AVF 相关的自我护理行为的量表(ASBHD-AVF)进行收集。在 SPSS 25.0 软件包程序中使用了 Shapiro-Wilk 和 Kolmogorov-Smirnov 检验、独立 t 检验和方差分析:研究结果表明,受训干预组患者的 ASBHD-AVF 平均得分从(54.52±7.41)分增至(73.77±3.05)分(P 0.05)。当研究两组之间的差异时,发现干预组患者的 ASBHD-AVF 平均得分在统计学上明显高于对照组(P 结论:干预组患者的 ASBHD-AVF 平均得分从 54.52 ± 7.41 增加到 73.77 ± 3.05(P 0.05):对 HD 患者进行 AVF 护理教育可改善患者的自我护理行为。改善患者的瘘管自我护理行为将有助于 AVF 的健康运行和患者接受有效的 HD 治疗。
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Determining the effect of arteriovenous fistula care training on the self-care behaviors of hemodialysis patients.

Introduction: The aim was to determine the effect of arteriovenous fistula (AVF) care training given to hemodialysis (HD) patients on the self-care behaviors of patients.

Methods: The randomized controlled experimental study was conducted in the HD unit. The study was carried out with a total of 66 patients. Patients in the intervention group were trained using the AVF Care Education Book for 4 weeks. The study data were collected using the scale for evaluating self-care behaviors related to AVF in HD patients (ASBHD-AVF). Shapiro-Wilk and Kolmogorov-Smirnov tests, independent t-tests, and ANOVA were used in the SPSS 25.0 package program.

Results: As a result of the research, it was determined that the average ASBHD-AVF score of the patients in the trained intervention group increased from 54.52 ± 7.41 to 73.77 ± 3.05 (p <0.05). The mean ASBHD-AVF score of the patients in the control group increased from 56.14 ± 4.51 to 58.14 ± 5.93 (p >0.05). When the difference between the two groups was examined, it was determined that the average ASBHD-AVF score of the patients in the intervention group was statistically significantly higher than the control group (p <0.05).

Conclusion: AVF care education given to HD patients improves patients' self-care behaviors. Improved fistula self-care behaviors of patients will contribute to the healthy functioning of the AVF and the effective HD treatment of patients.

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