基于健康素养的自我管理干预对血液透析患者-家庭照顾者的影响。

IF 1.1 4区 医学 Q3 NURSING Rehabilitation Nursing Pub Date : 2022-09-01 Epub Date: 2022-07-04 DOI:10.1097/RNJ.0000000000000381
Yusun Park, Sung Reul Kim
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引用次数: 1

摘要

目的:本研究的目的是确定基于健康素养的自我管理干预对接受血液透析的患者-家庭照顾者的影响。设计:采用准实验设计。方法:干预组(n = 20)接受基于健康素养的患者-家庭照顾者自我管理干预,对照组(n = 23)通过短信服务接收标准信息,为期8周。对所有参与者进行血液透析知识、自我效能、家庭支持、自我管理、透析间期体重增加与干重的比率以及测试前和测试后的血清磷和钾水平的评估。结果:干预组患者在血液透析知识、自我效能、家庭支持、自我管理等方面得分均高于对照组。此外,干预组透析间期增重与干重之比显著降低。结论:以健康素养为基础的自我管理干预对血液透析患者-家庭护理者的血液透析知识、自我效能感、家庭支持、自我管理和透析间期体重增加与干重之比均有显著改善。临床相关性:由于健康素养是影响自我管理的重要因素,对血液透析患者的干预应考虑患者及其家庭照顾者的健康素养水平。
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Health Literacy-Based Self-Management Intervention for Patient-Family Caregiver Dyads Undergoing Hemodialysis.

Purpose: The aim of this study was to determine the effect of a health literacy-based self-management intervention for patient-family caregiver dyads undergoing hemodialysis.

Design: A quasi-experimental design was used.

Methods: The intervention group ( n = 20) received a health literacy-based self-management intervention for patient-family caregiver dyads, whereas the control group ( n = 23) received standard informational messages through a short messaging service for 8 weeks. All participants were assessed for hemodialysis knowledge, self-efficacy, family support, self-management, the ratio of interdialytic weight gain to dry weight, and serum phosphorus and potassium levels at pretest and posttest.

Results: Participants in the intervention group exhibited higher scores on hemodialysis knowledge, self-efficacy, family support, and self-management than those in the control group. In addition, the ratio of interdialytic weight gain to dry weight decreased significantly in the intervention group.

Conclusions: The health literacy-based self-management intervention for patient-family caregiver dyads undergoing hemodialysis was effective in improving hemodialysis knowledge, self-efficacy, family support, self-management, and the ratio of interdialytic weight gain to dry weight.

Clinical relevance: Because health literacy is an important factor influencing self-management, interventions for patients undergoing hemodialysis should consider the health literacy level of patients and their family caregivers.

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来源期刊
Rehabilitation Nursing
Rehabilitation Nursing 医学-护理
CiteScore
1.90
自引率
7.70%
发文量
68
审稿时长
>12 weeks
期刊介绍: Rehabilitation Nursing is a refereed, award-winning publication and is the official journal of the Association of Rehabilitation Nurses. Its purpose is to provide rehabilitation professionals with high-quality articles with a primary focus on rehabilitation nursing. Topics range from administration and research to education and clinical topics, and nursing perspectives, with continuing education opportunities in every issue. Articles range from administration and research to education and clinical topics; nursing perspectives, resource reviews, and product information; and continuing education opportunities in every issue.
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