面对面与视频自我护理教育对血液透析患者生活质量影响的比较
A Comparison of Face to Face and Video-Based Self Care Education on Quality of Life of Hemodialysis Patients.
作者信息
Hemmati Maslakpak Masumeh, Shams Shadi
机构信息
Department of Medical Surgical Nursing, Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran;
Department of Medical Surgical Nursing, Urmia University of Medical Sciences, Urmia, Iran.
出版信息
Int J Community Based Nurs Midwifery. 2015 Jul;3(3):234-43.
BACKGROUND
End stage renal disease negatively affects the patients' quality of life. There are different educational methods to help these patients. This study was performed to compare the effectiveness of self-care education in two methods, face to face and video educational, on the quality of life in patients under treatment by hemodialysis in education-medical centers in Urmia.
METHODS
In this quasi-experimental study, 120 hemodialysis patients were selected randomly; they were then randomly allocated to three groups: the control, face to face education and video education. For face to face group, education was given individually in two sessions of 35 to 45 minutes. For video educational group, CD was shown. Kidney Disease Quality Of Life- Short Form (KDQOL-SF) questionnaire was filled out before and two months after the intervention. Data analysis was performed in SPSS software by using one-way ANOVA.
RESULTS
ANOVA test showed a statistically significant difference in the quality of life scores among the three groups after the intervention (P=0.024). After the intervention, Tukey's post-hoc test showed a statistically significant difference between the two groups of video and face to face education regarding the quality of life (P>0.05).
CONCLUSION
Implementation of the face to face and video education methods improves the quality of life in hemodialysis patients. So, it is suggested that video educational should be used along with face to face education.
背景
终末期肾病会对患者的生活质量产生负面影响。有多种教育方法可帮助这些患者。本研究旨在比较面对面教育和视频教育这两种自我护理教育方法对乌尔米亚教育医疗中心接受血液透析治疗的患者生活质量的影响。
方法
在这项准实验研究中，随机选择了120名血液透析患者；然后将他们随机分为三组：对照组、面对面教育组和视频教育组。对于面对面教育组，在两个35至45分钟的课程中进行个别教育。对于视频教育组，播放光盘。在干预前和干预后两个月填写肾脏疾病生活质量简表（KDQOL-SF）问卷。使用SPSS软件通过单因素方差分析进行数据分析。
结果
方差分析测试显示干预后三组患者的生活质量得分存在统计学显著差异（P = 0.024）。干预后，Tukey事后检验显示视频教育组和面对面教育组在生活质量方面存在统计学显著差异（P>0.05）。
结论
实施面对面教育和视频教育方法可提高血液透析患者的生活质量。因此，建议将视频教育与面对面教育结合使用。
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