需求性多元化健康教育对慢性肾脏病血液透析患者睡眠质量的影响
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TheImpact of Demand-based Diversified Health Education on Sleep Quality in Chronic Kidney Disease Hemodialysis Patients
LAN Huiqing，FANG Shuli， XIAO Siying
（DepartmentofNphrolog，909thHospital/SoutheastHospitalAfliatedtoXiamenUnversity，Zhangzhou630oina）
AbstractObjective：Toanalyzethevalueof implementingdemand-baseddiversifiedhealtheducation inthenursingcareof chronic kidneydisease（CKD）patientsundergoing hemodialysis.Methods：Atotalof1OoCKD hemodialysispatientsadmitedto the 909th Hospital from MarchO21to December 2024were selectedanddividedintoacontrolgroupandanobservationgroupusingthebal-drawing method，with5Ocasesineachgroup.Thecontrol groupreceivedconventionalnursingcare，whilehebser vationgroupreceivedaditional demand-baseddiversifiedhealth education.Thetwogroupswerecomparedintermsofhealth educationknowledgemastery，slpqualityandanxietyanddepresionlevels.ResutsBeforenursiginterventiontherewasnotatistically significant difference in health education knowledge mastery scores between the two groups（ P>0.05 ）. After nursing intervention，the observation group showed significantly higher health knowledge mastery scores than the control group（ P<0.05 ）. Before nursing intervention，Pitsburgh Sleep Quality Index（PSQI）scoresshowedno significantdiference betweengroups（ P> 0.05）；after intervention，the observation group had significantly lower PSQI scores than the control group（ P<0.05） . For anxiety and depression assessment，there were no significant diferences between groups before nursing intervention（ P>0.05 ）； however，afterintervention，theoservationgroupdemonstratedsignificantlylowerSelf-Rating AnxietyScale（SAS）andSelf-Rating Depression Scale（SDS） scores compared to the control group（ P<0.05 ）. Conclusion： Demand-based diversified health education demonstratessignificantefectivenessinCKDemodialysisatients，fectivelyehancingpatients’diseasecognitioniproing negative emotions，and significantly improving sleep quality.
KeywordsChronic kidneydisease； Hemodialysis; Sleepquality；Diversified health education；Negativeemotions;Nursing satisfaction；Cognition level；Demand-based education
中图分类号：R338.63;R322.6 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.10.038
血液透析是临床治疗慢性肾脏病（ChronicKid-neyDisease，CKD）的常用技术手段，血液透析代替肾脏功能，加快肾脏毒素与代谢废物的排出，从而维持机体酸碱平衡、电解质平衡，最终维持机体正常内循环，提高患者的生命质量[1]。（剩余6456字）
