基于知信行模式的健康教育对维持性血液透析患者遵医行为及钙磷代谢的影响

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Abstract Objective To explore the effect of knowledge, attitude and practice model (KAP) health education for maintenance hemodialysis (MHD) patients. Methods A total of 100 MHD patients admitted to Changsha Central Hospital from June 2020 to June 2021 were selected as the research object. They were divided into control group and observation group by random number table method, with 50 patients in each group. The control group received routine health education, and the observation group received KAP health education on the basis of the control group. The scores of compliance behavior, self-efficacy, blood phosphorus and blood calcium were compared between the two groups before intervention, 3 months and 6 months after intervention. Results There was no significant difference in compliance behavior and self-efficacy score between the two groups before intervention (P>0.05). The compliance behavior and selfefficacy score of the two groups increased gradually after 3 and 6 months of intervention, and the compliance behavior and self-efficacy score of the observation group were higher than that of the control group, the differences were statistically significant (P<0.05). There was no significant difference in blood calcium and phosphorus levels between the two groups before intervention (P>0.05). After 3 and 6 months of intervention, the blood phosphorus level in both groups gradually decreased, and the blood calcium level gradually increased, the serum phosphorus level of the observation group was lower than that of the control group, and the serum calcium level was higher than that of the control group,the differences were statistically significant (P<0.05). Conclusion Health education based on KAP can improve the calcium and phosphorus metabolism of MHD patients, and improve their compliance behavior and self-efficacy.

Key words： Maintenance hemodialysis Knowledge, attitude and practice model Health education Calcium and phosphorus metabolism Compliance behavior

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	Articles by authors
	JIANG Liqiong
	ZHANG Canzhi
	LUO Chang
	LI Haiying
	LU Juan

Cite this article:

JIANG Liqiong,ZHANG Canzhi,LUO Chang, et al. Effect of health education based on knowledge, attitude and practice model on compliance behavior and calcium and phosphorus metabolism in maintenance hemodialysis patients[J]. 中国当代医药, 2022, 29(24): 158-161.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I24/158

[1]	刘丽茹，何敏华.维持性血液透析患者钙磷代谢及甲状旁腺素水平横断面调查[J].临床肾脏病杂志，2018，18（1）：25-29.
[2]	范彦君，丁武杰，李慧，等.血液透析联合结肠透析对尿毒症患者钙、磷、PTH 的影响[J].中国中西医结合肾病杂志，2019，20（7）：602-604.
[3]	王培永.维持性血液透析病人高通量透析频率的选择及炎性细胞因子、钙磷代谢指标检测比较[J].蚌埠医学院学报，2019，44（5）：648-651.
[4]	吴戈青，崔英，陈燕春.HFHD 联合HDF 序贯用于维持性血液透析的价值研究[J].重庆医学，2020，49（16）：2679-2682.
[5]	陈灏珠，钟南山，陆再英.内科学[M].9 版.北京：人民卫生出版社，2018：518-525.
[6]	何雅芳.长期血液透析病患血磷控制遵从行为相关因素之研究[J].台湾肾脏护理学会杂志，2015，30（6）：107-109.
[7]	赵晋媛，赵婷，陈永华，等.维持性血液透析患者钙磷代谢对贫血的影响[J]. 中国中西医结合肾病杂志，2021，22（11）：1013-1015.
[8]	黄盈.低钙透析对维持性血液透析患者钙磷代谢及甲状旁腺激素影响的Meta 分析[J].中国血液净化，2019，18（1）：21-25.
[9]	何舒宁，张森，张亮亮，等.维持性血液透析患者钙、磷、及iPTH 三项指标达标状况分析[J].安徽医学，2019，41（2）：126-129.
[10]	王勤，张帆，郗君梅，等.知信行模式对维持性血液透析病人血磷控制自我效能和遵医行为的影响[J].护理研究，2019，33（8）：1329-1333.
[11]	王志宏，申飞梅，朱爱国，等.老年维持性血液透析患者钙磷代谢异常分析[J].老年医学与保健，2019，25（5）：641-643.
[12]	石荃，茅一萍，史灵芝，等.维持性血液透析患者容量管理知信行现状调查[J].中国实用护理杂志，2022，38（9）：702-708.
[13]	张妍，于珊，王效民.强化营养护理对维持性血液透析患者营养状况及钙磷代谢的影响[J].实用临床医药杂志，2018，22（20）：35-38.
[14]	陈晓敏，谭超，丁玲，等.基于知信行模式的健康教育对血液透析患者遵医行为及血磷控制水平的影响[J].中国医药科学，2021，11（2）：150-153.
[15]	徐慧，崔益鸿，翁丽娜，等.营养干预对肾衰竭维持性血液透析患者营养状况及钙磷代谢的影响[J].中国食物与营养，2021，27（3）：72-75.
[16]	姚晶，徐林芳，吴春蕾，等.饮食健康教育对维持性血液透析患者饮食管理行为，钙磷代谢及营养状况的影响[J].中国健康教育，2020，36（12）：1141-1144.