Application effect of situational experience health education with psychological counseling for maintenance hemodialysis patients
10.3760/cma.j.issn.1674-2907.2015.12.013
- VernacularTitle:情境体验式健康教育联合心理辅导在维持性血液透析患者中的应用
- Author:
Meiliang? LUO
1
;
Gang HU
;
Wei LI
Author Information
1. 310012 杭州，浙江省立同德医院血液净化中心
- Keywords:
Situational education;
Experiential learning;
Health education;
Maintenance hemodialysis
- From:
Chinese Journal of Modern Nursing
2015;(12):1408-1410,1411
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect situational experiencing health education with psychological counseling in maintenance hemodialysis patients. Methods A total of 80 patients, who had the final stage of renal failure and treated by maintenance hemodialysis in Tongde Hospital of Zhejiang Province in January 2013 to February 2014, were selected and randomly divided into observation group and control group on average. The patients of control group received conventional health education, while the patients of observation group were on the basis of conventional health education, received health education market environment and simultaneously experiencing psychological counseling. We compared the patients′general information such as the age, and utilized concise health SF-36 quality of life questionnaire and self-rating anxiety scale ( SAS ) and self-rating depression scale ( SDS) to questionnaire. Results The difference between the patient′s age and other general information were not statistically significant (P>0. 05). Scores of observation group were higher than these of the control group in vitality, physical function, social function, bodily pain, mental health, physical function, role emotional and general health aspects of eight dimensions ( t =6. 102, 4. 484, 5. 311, 5. 268, 5. 339, 3. 939, 7. 885, 6. 952;P <0. 01). After nursing intervention, the score of SAS acquired (53. 7 ± 9.1), higher than (58. 9 ± 11. 0) of control group (t =4. 621,P <0. 01). The score of SDS improved significantly compared the score of control group (45. 4 ± 6. 8) vs. (54. 6 ± 7. 6), which had statistical significance between two group (t =5. 623,P <0. 01). The complication incidences of observation group patients were apparently lower than those the control group including high blood pressure, low blood pressure, low blood glucose, and fistula occlusion (χ2 =6. 023, 7. 352, 5. 364, 5. 964;P<0. 05). Conclusions The situational experience health education with psychological counseling can improve maintenance hemodialysis patients′quality of life and mental health.
