Study on the Effect ofTranstheoretical Model Intervention in Volume Control of Hemodialysis Patients
作者: 张 杰 ：解放军总医院肾脏病科，北京;
Abstract: Objective: Through using transtheoretical model (TTM) in volume control of hemodialysis patients, the volume status and its related physical examination result like change of weight, blood pressure, ultrafiltration volume, serum albumin (Alb) and so on were analyzed, accumulating the experience of exploring the effect model to control volume of hemodialysis patients. Methods: In this study, 60 initial hemodialysis patients were selected to complete questionnaire and implement intervention; after 3-month follow-up, the volume status and the related observation results were compared with those before the intervention. Results: After intervention, the level of volume control was obviously improved; the ultrafiltration volume and incidence of edema significantly decreased; the weight and blood pressure of patients were well controlled; the level of Alb was improved. Conclusion: Using transtheoretical model in volume control of hemodialysis can effectively improve the volume control of initial hemodialysis patients.
文章引用: 张 杰 (2015) 应用行为分阶段转变理论模式干预血液透析患者容量控制的效果观察。 护理学， 4， 7-12. doi: 10.12677/NS.2015.41002
 Prochaska, J.O. and Diclemente, C.C. (1983) Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390-295.
 Prochaska, J.O. and Velicer, W.F. (1997) The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38-48.
 尹博 (2007) 健康行为改变的跨理论模型. 中国心理卫生杂志, 3, 194-199.
 Molaison, E.F. and Yadrick, M.K. (2003) Stages of change and fluid intake in dialysis patients. Patient Education and Counseling, 49, 5-12.
 Salmela, S., Poskiparta, M., Kasila, K., et al. (2009) Transtheoretical model-based dietary intervention in primary care: A review of the evidence in diabetes. Heath Education Research, 24, 237-252.
 Elder, J., Auala, G. and Harris, S. (1999) Theories and intervention approaches to health behavior change in primary care. American Journal of Preventive Medicine, 17, 275-284.
 Clanz, K., Rimer, B.K. and Viswanath, K. (2008) Health behavior and health education: Theory, research, and practice. 4th Edition, Jossey-Bass, San Francisco, 97-108.
 Prochaska, J.O., Di Clemente, C.C. and Norcross, J.C. (1992) In search of how people change. American Psychologist, 47, 1102-1114.
 Aubert, R.E., Herman, W.H. and Walters, J. (1998) Nurse case management to improve glycemic control in diabetic patients in health maintenance organization. Annals of Nigerian Medicine, 129, 605-612.
 McMurray, S.D., Johnson, G., Davis, S., et al. (2002) Diabetes education and care management significantly improve patient outcomes in the dialysis unit. American Journal of Kidney Diseases, 40, 566-575.
 楼青青, 徐玉斓, 杨丽黎 (2007) 阶段性改变模式在糖尿病患者行为改变中的应用. 中华护理杂志, 5, 420-421.