采用行为契约法提高慢性肾透析患者的饮食依从性。

Behavioral contracting to improve dietary compliance in chronic renal dialysis patients.

作者信息

Keane T M, Prue D M, Collins F L

出版信息

J Behav Ther Exp Psychiatry. 1981 Mar;12(1):63-7. doi: 10.1016/0005-7916(81)90031-8.

Abstract

End stage renal disease is the most severe stage of kidney failure. Hemodialysis or kidney transplants are required to insure patient survival. When dialysis treatment is used, patients experience dietary restrictions and consequently must limit fluid and food intake to compensate for the lack of kidney functioning. Two case studies are presented to demonstrate the effectiveness of behavioral procedures in improving compliance to dietary restrictions in chronic fluid overloaders. A contracting procedure between medical staff and the patients, and contingent staff praise for meeting weight standards, led to lower intersession weight gain. Continuous follow-up assessment indicated long term maintenance of treatment effects for these patients.

摘要

终末期肾病是肾衰竭最严重的阶段。需要进行血液透析或肾脏移植以确保患者存活。当采用透析治疗时，患者会受到饮食限制，因此必须限制液体和食物摄入量，以弥补肾脏功能的缺失。本文呈现了两个案例研究，以证明行为程序在提高慢性液体过载患者对饮食限制的依从性方面的有效性。医护人员与患者之间的契约程序，以及工作人员对达到体重标准的意外表扬，导致治疗期间体重增加减少。持续的随访评估表明这些患者的治疗效果得到了长期维持。