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肾移植受者教育干预效果的随机对照试验

The effect of an educational intervention for renal recipients: a randomized controlled trial.

机构信息

Department of Health Studies, University of Stavanger, Stavanger, Norway.

出版信息

Clin Transplant. 2012 May-Jun;26(3):E246-53. doi: 10.1111/j.1399-0012.2012.01666.x.

Abstract

AIM

The purpose of this randomized controlled trial was to test the efficacy of an educational intervention on renal recipient's knowledge, compliance, self-efficacy, and quality of life.

METHODS

In total, 159 renal recipients were randomized to the intervention (N = 77) or control group (N = 82). A total of 139 participants reached second measure point (7-8 wk post-Tx), and 120 participants reached third measure point (six months post-Tx). The intervention consisted of five tailored one-to-one sessions. Primary outcome was measured by a knowledge questionnaire. Secondary outcomes were measured by "The General- Self-efficacy Scale," SF-12 and by number of patient observations (Compliance).

RESULTS

Significantly higher levels of knowledge were found in the experimental group compared with the control group at both measure points (p = 0.002 and p = 0.004). Compliance was significantly higher in the experimental group at second measure point (p = 0.000). At third measure point, the experimental group reported significantly better scores on self-efficacy (p = 0.036) and mental score of quality of life (p = 0.001).

CONCLUSIONS

This structured, tailored educational intervention, applied in a 7-8 wk post-transplant period, increased renal recipients' levels of knowledge on both short and long terms. Furthermore, the intervention was beneficial for patients' compliance, self-efficacy, and mental quality of life.

摘要

目的

本随机对照试验的目的是测试一项教育干预对肾移植受者知识、依从性、自我效能感和生活质量的疗效。

方法

共有 159 名肾移植受者被随机分为干预组(N=77)或对照组(N=82)。共有 139 名参与者达到第二次测量点(移植后 7-8 周),120 名参与者达到第三次测量点(移植后 6 个月)。干预措施包括五次量身定制的一对一课程。主要结果通过知识问卷进行测量。次要结果通过“一般自我效能感量表”、SF-12 和患者观察次数(依从性)进行测量。

结果

在两个测量点,实验组的知识水平明显高于对照组(p=0.002 和 p=0.004)。实验组在第二次测量点的依从性明显更高(p=0.000)。在第三次测量点,实验组在自我效能感(p=0.036)和生活质量的心理评分(p=0.001)方面的评分明显更好。

结论

这种结构化、定制的教育干预措施,在移植后 7-8 周内实施,提高了肾移植受者在短期和长期的知识水平。此外,干预措施对患者的依从性、自我效能感和心理健康质量有益。

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