ABSTRACT
Objective@#To explore the effect of health education based on behavioral phased transformation theory in remote peritoneal dialysis patients in remote mountainous areas.@*Methods@#Totally 84 cases of peritoneal dialysis catheterization in our hospital from April 2016 to May in -2018 were selected as the research subjects. After discharge, home peritoneal dialysis was performed. According to the random number table method, 42 cases in each group were divided into observation group and control group. The control group was given routine treatment and traditional health education. On the basis of conventional treatment, the observation group established a behavior based phased transformation of health education as a means of intervention. The two groups were all intervened for 6 months. Volume status and self-care behavior were evaluated and compared between the two groups within one week of admission and six months after intervention.@*Results@#Before intervention, there was no significant difference in the capacity load between the observation group and the control group (P>0.05). The systolic and diastolic blood pressures of the observation group after intervention were (131.21±11.73) mmHg (1 mmHg=0.133kPa) and (80.24 ±10.62) mmHg respectively, which were significantly lower than those of the control group (140.31 ± 12.87) mmHg and (85.75 ± 11.73) mmHg, with significant differences (t=3.455, 2.302, P < 0.05); and the ultrafiltration volume of the observation group after intervention was (385.15 ± 105.1.8) ml was significantly higher than that of the control group (320.02±126.87) ml, with significant difference (t=2.561, P < 0.05); there was no significant difference in body mass and urine volume between the two groups after intervention (P > 0.05).The total score of the self-care ability scale in the observation group was (122.11 ± 8.52) points, which was significantly higher than that in the control group (94.24 ± 10.71) points. The difference was statistically significant (t=313.198, P<0.01) .@*Conclusion@#Health education based on the theory of behavioral phased transformation can help patients with peritoneal dialysis in remote mountainous areas to improve their capacity and improve their self-protection behavior, which has educational guiding significance.
ABSTRACT
Objective To explore the effect of health education based on behavioral phased transformation theory in remote peritoneal dialysis patients in remote mountainous areas. Methods Totally 84 cases of peritoneal dialysis catheterization in our hospital from April 2016 to May in-2018 were selected as the research subjects. After discharge, home peritoneal dialysis was performed. According to the random number table method, 42 cases in each group were divided into observation group and control group. The control group was given routine treatment and traditional health education. On the basis of conventional treatment, the observation group established a behavior based phased transformation of health education as a means of intervention. The two groups were all intervened for 6 months. Volume status and self-care behavior were evaluated and compared between the two groups within one week of admission and six months after intervention. Results Before intervention, there was no significant difference in the capacity load between the observation group and the control group (P>0.05). The systolic and diastolic blood pressures of the observation group after intervention were (131.21±11.73) mmHg (1 mmHg=0.133kPa) and (80.24 ±10.62) mmHg respectively, which were significantly lower than those of the control group (140.31 ± 12.87) mmHg and (85.75 ± 11.73) mmHg, with significant differences (t=3.455, 2.302, P < 0.05); and the ultrafiltration volume of the observation group after intervention was (385.15 ± 105.1.8) ml was significantly higher than that of the control group (320.02 ± 126.87) ml, with significant difference (t=2.561, P < 0.05); there was no significant difference in body mass and urine volume between the two groups after intervention (P>0.05).The total score of the self-care ability scale in the observation group was (122.11 ± 8.52) points, which was significantly higher than that in the control group (94.24 ± 10.71) points . The difference was statistically significant(t=313.198, P<0.01). Conclusion Health education based on the theory of behavioral phased transformation can help patients with peritoneal dialysis in remote mountainous areas to improve their capacity and improve their self-protection behavior, which has educational guiding significance.
ABSTRACT
Objective To analyze the causes,cardiac function grading and drug application related to heart failure of the patients with chronic heart failure in Yongchuan district people's hospital.Methods The cases of chronic heart failure of department of cardiology in our hospital from January 1st,2012 to December 31st,2015 were counted and retrospectively analyzed.Results 3 320 cases of chronic heart failure in our hospital chosen from 8 126 medical records accounted for 40.86% of total discharged patients in the same period,including 2 262 cases of coronary disease (68.13%),353 cases of rheumatic heart disease (10.63%)and 265 cases of pulmonary heart disease (7.98%),who took up the top three in the spectrum of disease;2 683 cases of NYHA heart function Ⅲ magnitude accounted for 80.81%;The utilization rate of diuretic,digoxin,spironolactone,angiotensin -converting enzyme inhibi-tor,angiotonin receptor blocker,beta adrenergic receptor were 71.23%,27.23%,70.48%,30.75%,30.78%respectively.The statistical analysis showed that the differences were statistically significant between the patients using diuretics and the patients using spirolactone(χ2 =2.386,P <0.001),the patients with hypertension and the patients with no hypertension using ACEI /ARB(χ2 =2.727,P <0.001),and merged chronic bronchitis patients and the chro-nic bronchitis patients using beta -blocker(χ2 =61.807,P <0.001).Conclusion The patients with chronic heart failure takes up a higher portion among the inpatients in department of cardiology in the district level hospital.The heart function decreases significantly and the normative drug therapy needs to be improved.