运用网络平台进行健康教育对CKD1-2期患者生存质量的影响

发布时间：2018-05-04 05:38

本文选题：慢性肾脏病 + 健康教育　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：目的:通过调查辽宁省中医院肾内科马晓燕教授门诊患者的生存质量现状,评价运用网络平台进行健康教育对改善慢性肾脏病1-2期患者生存质量的积极影响;通过对患者提出的问题进行分析整理,为慢性肾脏病患者制定宣讲策略,以增强患者对相关知识的了解。方法:通过肾脏疾病生存质量简表(KDQOL-SFTM)评价马晓燕教授门诊患者的生存质量。将已经完成第一次问卷调查的63例患者随机分为实验和对照两组,实验组除了中医辨证治疗外,接受健康教育;对照组仅中医辨证治疗,追踪随访15个月后,对两组进行第二次问卷调查。对调查结果进行评分,采用SPSS17.0统计软件完成数据分析;通过在QQ群中为患者解答问题,对其问题进行整理分析,了解患者所关注的问题,并结合临床治疗指南及国外多学科团队宣讲策略,进行针对性宣教。结果:KDQOL-SFTM研究结果显示,与治疗前比较,实施中医常规治疗结合健康教育的慢性肾脏病1-2期实验组患者生存质量有明显的提高。与对照组比较,实验组在心理健康综合评价、精力状况、情感职能、精神健康、肾脏病给生活带来负担、认知功能、社交质量、睡眠、总体健康评估维度评分方面具有明显优势,有统计学意义;QQ群问题整理分析显示,患者在“感冒”、“饮食”、“化验检查”、“各种肾脏疾病诊治方法”、“生活方式”及“焦虑抑郁情绪”等方面存在疑问或困扰。结论:中医辨证治疗结合运用网络平台进行健康教育,对慢性肾脏病1-2期患者的生存质量具有积极影响;《黄帝内经》理论与生存质量有天然的内在联系,是健康教育重要理论依据;通过对QQ群中患者提出的问题进行整理分析,患者在“感冒”、“饮食”、“化验检查”、“各种肾脏疾病诊治方法”、“焦虑抑郁情绪”、“生活方式”等方面存在疑问或困扰,由此进行重点宣教,以利于CKD的康复。
[Abstract]:Objective: to investigate the quality of life (QOL) of outpatients of Professor Ma Xiaoyan in Department of Renal Medicine of Liaoning Provincial Hospital of traditional Chinese Medicine (TCM), and to evaluate the positive effect of health education on improving the quality of life of patients with chronic kidney disease (CHD) in 1-2 stages. By analyzing and sorting out the questions raised by the patients, we can make a propaganda strategy for the patients with chronic kidney disease, so as to enhance their understanding of the relevant knowledge. Methods: the quality of life (QOL) of Professor Ma Xiaoyan outpatients was evaluated by KDQOL-SFTM. Sixty-three patients who had completed the first questionnaire were randomly divided into two groups: experimental group and control group. The experimental group received health education in addition to TCM syndrome differentiation treatment, while the control group was treated only with TCM syndrome differentiation and followed up for 15 months. A second questionnaire survey was conducted between the two groups. Score the results of the survey, use the SPSS17.0 statistical software to complete the data analysis, through the QQ group for patients to answer questions, analyze their problems, understand the patient's concerns, Combined with clinical treatment guidelines and foreign multi-disciplinary team propaganda strategy, targeted education. Results the results of the study showed that compared with before treatment, the quality of life of the patients with chronic kidney disease in the 1-2 stage of chronic kidney disease treated with traditional Chinese medicine combined with health education was significantly improved. Compared with the control group, the experimental group brought burden to life, cognitive function, social quality, sleep, mental health, mental health, emotional function, mental health, mental health, mental health, mental health, mental health, mental health, mental health, mental health, mental health, mental health, mental health The overall health assessment dimension score has obvious advantage, has the statistical significance, the QQgroup question collates the analysis, the patient in "cold", "the diet", "the laboratory examination", "the various kidney disease diagnosis and treatment method", There are questions or puzzles in life style and anxiety and depression. Conclusion: the combination of TCM syndrome differentiation and network platform for health education has a positive effect on the quality of life of patients with chronic kidney disease of stage 1-2, and the theory of Huangdi Nei Jing has a natural internal relationship with the quality of life. It is an important theoretical basis for health education. Through the analysis of the questions raised by the patients in QQ group, the patients are found to have a cold, diet, laboratory examination, methods of diagnosis and treatment of various kidney diseases, and anxiety and depression. "lifestyle" and other aspects of doubt or trouble, so focus on education, in order to facilitate the rehabilitation of CKD.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.5

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