英文摘要 |
During hemodialysis, the nurse provides the patient with knowledge and information focusing on self care; therefore, the patient can adapt to the life change due to long-term treatment. However, without consideration of the patient’s educational background and learning needs, the provision of impractical educational information could lower patients' motivation to learn or misestimate their needs. The purpose of this study was to explore the learning needs of patients with hemodialysis , the difference between patients’ wanted educational information, and the selected demographic variables. This was a descriptive correlation-based research that used purposeful sampling and strnctural questionnaires. The data were collected from 120 subjects receiving hemodialysis at a dialysis center of a regional hospital in Southern Taiwan. Instrnments for the study included the basic demographic sheet, the informational needs scale in uremic patients, the Mann-Whitney U test, the Kruskal-Wallis test, and the Spearman correlation analysis by using the SPSS 12.0 software. The study findings reported that the overall mean score of the educational information needs was 174.57 .Among all informational subjects, the highest score of known information was on 'understanding dietary and fluid control,' and second highest was on 'understanding the feasibility of kidney transplantation.' The highest wanted information was on 'how to apply for social support or welfare from the government' and 'medical cost coverage for dialysis by the National Health Insurance.' The least wanted information was on 'rocedures of the catheter insertion for peritoneal dialysis 'and' self care after peritoneal catheter insertion.' The relative factors such as age, educational background, leisure activities, and length of hemodialysis had statistically significant correlation to informational needs. The study's findings revealed that the information on social welfare, medical aid, and kidney transplantation was insufficiently provided to dialysis patients during patient education. Therefore, it can be added to the routine patient education to new patients in the future. The dialysis centers and the government also need to promote this information to the health care professionals during in- services in order to satisfy the patients’ educational needs. |