电子邮件健康宣教对老年血透患者压力改善及治疗方案依从性的影响研究(1)
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[摘要] 目的 研究电子邮件健康宣教对老年血透患者压力改善及治疗方案依从性的影响。 方法 将我院40例血透患者随机分电子邮件组和对照组，每组各20例。对照组按照常规的护理程序护理，电子邮件组1周发2次电子邮件进行健康宣教，共试验10周；压力评分采用我科室针对血透患者制订的心理压力问卷量表进行。结果 电子邮件组血透患者的压力分值由(55.08±7.69)分降低为(43.29±6.52)分(P = 0.031)，血清皮质醇由(11.18±4.23)μg/dL降低为(9.01±3.52)μg/dL(P = 0.039)，肾上腺素由(23.35±24.25)ng/dL降低为(18.38±18.01)ng/dL(P = 0.046)；患者体重增加量由(2.58±0.75)kg降低为(1.96±0.78)kg(P = 0.036)，减少了积液的风险。 结论 对于老年血透患者，通过电子邮件健康宣教有效地改善了压力水平，提高了治疗依从性。
[关键词] 电子邮件；健康宣教；老年血透患者；压力；依从性
[中图分类号] R47 [文献标识码] C [文章编号] 1673-7210(2012)08(b)-0136-03
Study effect of E-mail health education on the improving of stress and compliance of treatment of elderly patients with hemodialysis
LI Hongyan
Blood Purification Center, the First Hospital of Zhuzhou City, Hu'nan Province, Zhuzhou 412000, China
[Abstract] Objective To study the influence of E-mail health education on improving of stress and compliance of treatment of elderly patients with hemodialysis. Methods 40 elderly patients with hemodialysis were divided into E-mail group and control group, each group had 20 cases. E-mail group was educated by E-mail, and the control group was given routine nursing. The E-mail group received E-mail for health education twice a week for 10 weeks. Stress scores were measured by a stress questionnaire that was developed for hemodialysis patients by our hospital. Results In E-mail group, stress score was decreased from (55.08±7.69) scores to (43.29±6.52) scores (P = 0.031), serum cortisol was decreased from (11.18±4.23) μg/dL to (9.01±3.52) μg/dL (P = 0.039), epinephrine was decrease from (23.35±24.25) μg/dL to (18.38±18.01) ng/dL (P = 0.046), and interdialytic weight gain was decreased from (2.58±0.75) kg to (1.96±0.78) kg (P = 0.036). Conclusion E-mail education for elderly patients with hemodialysis is effective in improving stress and compliance ......
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