應用自我調節理論發展血液透析病患水份控制方案

Using Self-Regulation Theory to Develop an Intervention Protocol for Fluid Control in Patients Undergoing Hemodialysis

隨著透析照護技術的進步，透析病患的存活率也漸提高，而病患因著水份控制不良，造成體重增加，其所引發之併發症機率相對增加，因此需要有一能夠維持血液透析病患水份控制的新策略。而自我調節理論是一個可以用來發展新策略的架構。本文係以自我調節為架構來設計血液透析病患水份控制方案，並以範例說明如何應用此方案來促進透析病患水份控制。藉由水份控制行為的修正，將可使血液透析病患對其透析間體重增加維持一理想的程度，降低體液過量所衍生的心血管疾病發生率。

With improvements in medical techniques, the survival rates among patients undergoing dialysis are gradually increasing. Poor fluid control leads to overweight and related complications. It is therefore important that new strategies be developed to encourage and maintain fluid control in patients receiving hemodialysis treatment. Self-regulation theory is a model that could be used to develop new strategies. On the basis of this theory, this article aims to design an intervention protocol for fluid control in hemodialysis patients. Examples are provided to describe how such a protocol might be applied to improve the fluid control. It is hoped that through behavioral modification of fluid control, patients undergoing hemodialysis will maintain the interdialytic weight gain and that cases of cardiovascular disease resulting from fluid overload will be reduced.