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目的 :调查团体动力学干预方案对青年血液透析患者自我管理的作用。方法 :对郑州市某综合性医院血液净化中心青年血液透析患者的自我管理状况进行问卷调查,招募自我管理得分低于48分(低于自我管理总分的60%)的41名患者参加本研究,采用随机数字表法进行分组,干预组20名,对照组21名。干预组患者接受为期8周的以团体动力学干预方案为指导的健康教育,对照组患者进行医院常规教育。在干预前、干预后1个月评估两组患者的自我管理水平及生活质量。结果 :干预后1个月干预组患者自我管理能力、生活质量及部分生理指标好于对照组,差异有统计学意义(P<0.05)。结论 :团体动力学干预方案可提高青年血液透析患者自我管理水平及生活质量。
OBJECTIVE: To investigate the effect of group kinetic interventions on self-management of young hemodialysis patients. Methods: A questionnaire survey was conducted on the self-management status of young hemodialysis patients in a general hospital blood purification center in Zhengzhou. 41 patients with self-management scores less than 48 points (less than 60% of self-management scores) were enrolled in this study , Using random number table method grouping, intervention group 20, control group 21. Patients in the intervention group received a health education guided by the group dynamics intervention program for 8 weeks and patients in the control group received routine education in the hospital. Before intervention, one month after intervention, the self-management and quality of life of the two groups were evaluated. Results: One month after intervention, self-management ability, quality of life and some physiological indexes of intervention group were better than that of control group (P <0.05). Conclusion: The group dynamics intervention program can improve the self-management and quality of life of young hemodialysis patients.