维持性血液透析高磷血症患者低磷饮食行为改变阶段健康信念调查

发布时间：2018-05-08 04:35

本文选题：维持性血液透析 + 高磷血症　；参考：《广东医学》2017年14期

【摘要】：目的调查维持性血液透析(MHD)高磷血症患者低磷饮食行为阶段现状,为制定个体化护理干预措施提供依据。方法运用行为分阶段改变理论及健康信念模式,对110例MHD高磷血症患者进行问卷调查。结果调查的110例患者中,13例(11.8%)患者处于无意识阶段;17例(15.5%)患者处于有意识阶段;47例(42.7%)患者处于准备阶段;24例(21.8%)患者处于行动阶段;9例(8.2%)患者处于维持阶段;健康信念的四个部分即感知到疾病易感性、感知到疾病的严重性、感知到遵从低磷饮食的益处、感知到遵从低磷饮食的障碍在不同行为阶段的差异有统计学意义(P0.05)。结论 MHD高磷血症患者低磷饮食行为现状不理想,临床上应结合健康信念模式,针对MHD高磷血症患者不同低磷饮食行为阶段,制定个体化护理干预措施。
[Abstract]:Objective to investigate the behavior stage of low phosphorus diet in patients with maintenance hemodialysis (MHD) hyperphosphatemia and to provide basis for individualized nursing intervention. Methods A questionnaire survey was conducted in 110 patients with MHD hyperphosphatemia by means of behavioral change theory and health belief model. Results among the 110 patients investigated, 13 (11.8) patients were in the unconscious stage and 17 (15.5) patients were in the conscious stage. (47 patients were in the preparation stage.) 24 patients were in the preparation stage.) the patients were in the action stage and 9 patients were at the stage of operation.) the patients were in the maintenance stage. The four parts of health belief, namely, the susceptibility to disease, the severity of the disease, the benefits of following a low phosphorus diet, and the disorder of following a low phosphorus diet, were significantly different in different behavioral stages. Conclusion the status quo of low phosphorus diet behavior in patients with MHD hyperphosphatemia is not ideal. The individual nursing intervention should be made according to the different stages of low phosphorus diet behavior in patients with MHD hyperphosphatemia.
【作者单位】：广西医科大学第一附属医院老年心血管内科;广西医科大学第一附属医院肾内科;广西医科大学研究生学院;
【基金】：广西自然科学基金项目(编号:2010GXNSFA013192)
【分类号】：R473.5

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