Effect of health education based on symptom management strategy on psychological status, self-management ability and quality of life in maintenance hemodialysis patients
10.3760/cma.j.cn211501-20220122-00231
- VernacularTitle:基于症状管理策略的健康教育对维持性血液透析患者心理状况、自我管理能力和生命质量的影响
- Author:
Qianyun LI
1
;
Cuiling WEI
;
Xin ZHANG
;
Lulu LYU
;
Chonggao YIN
Author Information
1. 潍坊医学院护理学院，潍坊 261053
- Keywords:
Self-management;
Quality of life;
Hemodialysis;
Health education;
Psychological status;
Symptom management
- From:
Chinese Journal of Practical Nursing
2023;39(5):347-354
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of health education based on symptom management strategy on the psychological status, self-management ability and quality of life of maintenance hemodialysis patients.Methods:A randomized controlled trial method was used. One hundred and fifty hemodialysis maintenance patients in the Blood Purification Center, Jinan People's Hospital from August 2019 to August 2020, were selected as the research subjects by convenience sampling. Patients were divided into a control group and observation group by random number table method, with 75 cases in each group. The control group was given routine health education, and the observation group was given health education based on symptom management strategies. Self-rating Anxiety Scale (SAS), self-rating Depression Scale (SDS), self-management ability scale of dialysis patients, and SF-36 quality of life scale were used to compare the improvement of negative emotion, self-management ability, and quality of life in the two groups.Results:There was no statistically significant difference between the control group and the observation group before the intervention (all P>0.05). After 3 months of intervention, the SAS and SDS scores of the patients in the observation group were (36.42 ± 4.09) and (35.74 ± 3.64) respectively, which were lower than those of the control group (46.37 ± 4.64) and (49.38 ± 2.49). The difference was statistically significant ( t=8.46, 9.42, P<0.05); the self-management score of patients in the observation group (80.11 ± 7.83) was higher than that in the control group (47.21 ± 6.62), with a statistically significant difference ( t=32.29, P<0.05); the total score of SF-36 quality of life in the observation group (594.32 ± 35.03) was higher than that in the control group (501.42 ± 32.78),with a statistically significant difference ( t=24.66, P<0.05). Conclusions:Health education based on symptom management strategy can improve the psychological status of maintenance hemodialysis patients, and has important value in improving their self-management ability and quality of life.
