Application of continuity self-management education in hemodialysis patients / 中国基层医药

ABSTRACT

Objective To observe the effect of continuity self -management education on the emotional state and quality of life in patients with peritoneal dialysis and provide guidance for health intervention.Methods 236 patients with peritoneal dialysis were selected and randomly divided into two groups.The control group(118 cases)was just given routine nursing care,the continuity self -management education group(118 cases)was given continuity self -management education and routine nursing care.After 4 months,the differences of anxiety,depression and quality of life between the two groups were evaluated.Results Four months after the intervention,anxiety and depression scores of the two groups became lower,which of the continuity self -management education group decreased more significantly than the control group(anxietyt =9.860,P =0.000;depressiont =15.265,P =0.000).The quality of life scores of the two groups became higher,which of the continuity self -management education group were better than the control group (somatizationt =26.767,P =0.000;forcet =8.090,P =0.000;sensitive interpersonal relationshipt =2.414,P =0.017;depressiont =67.484,P =0.000;anxietyt =8.198,P =0.000;hostilet =26.366,P =0.000;paranoidt =4.862,P =0.000;Psychotict =0.951,P =0.343).Conclusion Continuity self -management educa-tion has a positive effect on emotional states and quality of life,which is worthy of clinical promotion.