運用行為修正改善血液透析病患高血磷症之成效

The Effect of Behavior Modification on Improving Hyperphosphatemia in the Hemodialysis Patients

本研究目的在評價行為修正對血液透析病患高血磷改善之效果。採類實驗法研究設計，以台北某一醫院血液透析中心，94年8月血磷值高於6mg/dl（含）病患為研究對象，並以隨機方式分成實驗組與控制組。在進行研究前，研究對象先填寫高血磷認知及行為頻率問卷，之後，實驗組給施予行為修正，控制組則給予高血磷常規護理。在9月常規抽血時並給予後測問卷。研究結果顯示兩組在認知、行為、血磷值等層面皆達改善，但僅實驗組血磷值降低至正常範圍內。研究結果可提供改善血液透析病患血磷值之參考。

The purpose of this study was to evaluate the effect of the behavior modification onimproving hyperphosphatemia in the hemodialysis patients. A quasi-experimental with two-grouppretest-posttest design was used. The subjects were selected from the hemodialysis center of a hospital inTaipei and their serum phosphorus value was above 6.0mg/dl in August, 2004. Subjects were divided byrandom assignment into an experimental group and a control group. They fulfilled the questionnaires ofrelative phosphoric knowledge and behavior before research. The experimental group received behaviormodification, whereas the control group received only regular hyperphosphatemia nursing care. Theythen were written again the questionnaires and taken blood sample for phosphorus value in September.The results indicate that both groups experienced the improvements of knowledge, behavior and serumphosphorus value. Only serum phosphorus value of the experimental group was in the normal range.Study results may provide to improve hemodialysis patients’ serum phosphorus value.