Application effect of ADOPT model health education in hemodialysis pa-tients
Objective To explore the application effect of ADOPT model health education in hemodialysis patients.Methods A total of 90 patients undergoing hemodialysis treatment in the Second Affiliated Hospital of Wannan Medical College from January 2022 to June 2023 were selected as the study objects.They were divided into control group and intervention group according to random number table method,with 45 cases in each group.The control group was given oral education,written education,intensive education,individual guidance,and follow-up,and intervention group was given ADOPT based health education.The intervention period was six months.Self-efficacy,disease knowledge,blood flow pass rate,and maintenance quality of internal arteriovenous fistula were compared between two groups before and after intervention.Results Before interven-tion,there was no significant difference in general self-efficacy scale(GSES)scores between two groups(P＞0.05);after intervention,the GSES scores of both groups were higher than before intervention,and intervention group was higher than control group,the differences were statistically significant(P＜0.05).Before intervention,there was no significant difference in the disease knowledge awareness rate between two groups(P＞0.05);after intervention,the disease knowledge awareness rate in both groups was higher than before intervention,and intervention group was higher than control group,the differences were statistically significant(P＜0.05).Before intervention,there was no significant difference in blood flow pass rate between two groups(P＞0.05);after intervention,blood flow pass rate in intervention group was higher than before intervention and control group,the differences were statistically significant(P＜0.05).The total incidence of complications in intervention group was lower than that in the control group,and the implementation rate of maintenance measures was higher than that in the control group,the differences were statistically significant(P＜0.05).Conclusion ADOPT model health education can improve the self-efficacy,disease knowledge awareness rate,and blood flow pass rate of hemodialysis patients with chronic kidney disease,and improve the quality of internal arteriovenous fistula maintenance in patients.
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