护士主导的慢性肾脏疾病管理知识教育干预效果观察

Kadabahalli Shobha, L. Sams, Judie Arulappan, Hanan F Alharbi
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摘要

背景:慢性肾脏疾病(CKD)被定义为肾脏损害或肾小球滤过率(GFR) < 60ml /min/1.73 m2持续3个月或更长时间,与病因无关。CKD可发展为终末期肾脏疾病(ESRD),这需要肾脏替代治疗(RRT),并与所有阶段的发病率和死亡率相关。护士主导的教育干预在提高患者的意识,从而提高他们的生活质量方面发挥着至关重要的作用。目的:评估护士主导教育干预(NLEI)对CKD患者知识的影响。方法:采用包含18个项目的《慢性肾病患者认知问卷》对患者的认知水平进行评估。对50例CKD患者进行NLEI治疗。数据分析使用社会科学统计软件包(SPSS)版本21。讨论:前测平均知识得分为40.42,标准差为±4.09。后测知识平均分为62.52分,标准差为±4.29分。配对t检验显示t = 26.35, df = 49。患者知识知晓程度与饮食习惯有显著相关性@ P≤0.05。结论:NLEI对提高CKD患者的认知是有效的。这意味着当适当实施时,CKD患者将从NLEI中获益,这有可能改善他们的健康状况。
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Effectiveness of Nurse-Led Educational Intervention on Knowledge Regarding Management of Chronic Kidney Disease among Patients
Background: Chronic kidney disease (CKD) is defined as kidney damage or glomerular filtration rate (GFR) <60 mL/min/1.73 m2 for 3 months or more, irrespective of the cause. CKD can progress to end-stage renal disease (ESRD), which requires renal replacement therapy (RRT) and is associated with morbidity and mortality at all stages. Nurse-led educational interventions play an essential role in improving the awareness of patients, thereby enhancing their quality of life. Purpose: The study assessed the effectiveness of nurse-led educational intervention (NLEI) on knowledge of patients with CKD. Methods: The patients’ level of knowledge was assessed using an 18-item Chronic Kidney Disease Patient Awareness Questionnaire. An NLEI was administered to 50 patients with CKD. The data were analyzed using Statistical Package for the Social Sciences (SPSS) version 21. Discussion: The pretest mean knowledge score was 40.42 and SD was ±4.09. The posttest mean knowledge score was 62.52 and SD was ±4.29. The paired t-test showed t = 26.35, df = 49. Significant association was found between the knowledge of patients and their dietary habits @ P ≤ 0.05. Conclusions: NLEI was effective in enhancing the knowledge of CKD patients. This implies that when appropriately implemented, the CKD patients will reap the benefits of NLEI, which has the potential to improve their health status.
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期刊介绍: The International Journal of Nutrition, Pharmacology, Neurological Diseases (IJNPND) is an international, open access, peer reviewed journal which covers all fields related to nutrition, pharmacology, neurological diseases. IJNPND was started by Dr. Mohamed Essa based on his personal interest in Science in 2009. This journal doesn’t link with any society or any association. The co-editor-in chiefs of IJNPND (Prof. Gilles J. Guillemin, Dr. Abdur Rahman and Prof. Ross grant) and editorial board members are well known figures in the fields of Nutrition, pharmacology, and neuroscience. First, the journal was started as two issues per year, then it was changed into 3 issues per year and since 2013, it publishes 4 issues per year till now. This shows the slow and steady growth of this journal. To support the reviewers and editorial board members, IJNPND offers awards to the people who does more reviews within one year. The International Journal of Nutrition, Pharmacology, Neurological Diseases (IJNPND) is published Quarterly. IJNPND has three main sections, such as nutrition, pharmacology, and neurological diseases. IJNPND publishes Research Papers, Review Articles, Commentaries, case reports, brief communications and Correspondence in all three sections. Reviews and Commentaries are normally commissioned by the journal, but consideration will be given to unsolicited contributions. International Journal of Nutrition, Pharmacology, Neurological Diseases is included in the UGC-India Approved list of journals.
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