Effect Of Health Education Based On PMT On Self-management Ability Of Arteriovenous Fistula In Hemodialysis Patients

Research Purpose:To explore the effect of health education model based on protective motivation theory on self-management ability,self-efficacy and related complications of arteriovenous fistula in hemodialysis patients,and to provide a reference for clinical nursing staff to carry out the management of arteriovenous fistula.Research Methods:This study included 82 hemodialysis patients with arteriovenous fistula from a tertiary hospital in Huzhou City.According to establish arteriovenous fistula time in hemodialysis patients,the subjects were divided into control group and intervention group,the control group was given routine health education,and the intervention group was given health education based on the theory of protective motivation.After three months of intervention,the self-management scale,chronic disease self-efficacy scale and relevant indexes of hemodialysis patients were used to evaluate the effect.Research Results:(1)General data included: sex,marriage,education level,per capita monthly income,etc.there was no significant difference between the two groups(P>0.05).Clinical data included:primary disease,kidney transplantation,arteriovenous fistula use time,etc.there was no significant difference between the two groups(P>0.05).(2)Before the intervention,there was no significant difference between the two groups in the total score of self-management of arteriovenous fistula and the scores of symptom identification,symptom management and symptom prevention in each dimension(P>0.05),and there was comparability between the two groups.After the intervention,the total score of self-management of arteriovenous fistula in the intervention group(71.10±2.79)and the scores of symptom identification(39.69±2.53),symptom management(17.64±0.81)and symptom prevention(13.77±0.68)in each dimension were higher than those in the control group(P<0.05).Before and after the intervention,the total score difference of self-management of arteriovenous fistula in the intervention group(7.92±3.34)and the difference of symptom identification,symptom management and symptom prevention in each dimension were higher than those in the control group(3.10±1.58),the difference was statistically significant(P<0.05).(3)Before intervention,there was no significant difference in self-efficacy scores between the two groups(P>0.05).After intervention,the self-efficacy score of intervention group(7.14±0.50)was higher than that of control group(6.83±0.51),the difference was statistically significant(P<0.05);Before and after the intervention,the difference of self-efficacy score(0.77±0.56)in intervention group was higher than that in control group(0.54±0.38),the difference was statistically significant(P<0.05).(4)After the intervention,the incidence of arteriovenous fistula hematoma,sclerosis,bleeding,dialysis hypotension and hypoglycemia in the intervention group was lower than that before the intervention,and the difference was statistically significant(P<0.05).Research Conclusion:1.Health education based on protective motivation theory can improve self-management ability of arteriovenous fistula in hemodialysis patients;2.Health education based on protective motivation theory can improve the self-efficacy of hemodialysis patients;3.Health education based on protective motivation theory can reduce the incidence of adverse events and dialysis complications of arteriovenous fistula puncture.