Application of the transtheoretical model and stages of change in maintenance hemodialysis patients

Abstract

Objective To explore the application of the transtheoretical model and stages of change in maintenance hemodialysis patients .Methods One hundred and thirty-eight maintenance hemodialysis patients were chosen and received the three stages of interventions according to the transtheoretical model and stages of change.The changes of clinical biochemical indicator were compared before and after the intervention . Results The levels of the serum albumin and hemoglobin were respectively （39.3 ±9.1） g/L, （108.8 ± 11.7）g/L after the intervention, and were significantly higher than （37.2 ±8.3） g/L, （105.6 ±10.4） g/L＆amp;nbsp;before the intervention, and the differences were statistically significant （t=-2.002 9, -2.401 4, respectively;P<0.05）.The systolic blood pressure, the concentrations of K ＋and Na ＋were respectively （148.6 ±20.5） mmHg, （5.5 ±1.4）mmol/L, （146.1 ±16.5）mmol/L before the intervention, and were significantly higher than （141.2 ±22.3）mmHg, （4.9 ±1.3）mmol/L, （139.2 ±20.3）mmol/L after the intervention, and the differences were statistically significant （t=2.869 9, 3.689 3, 3.098 5, respectively; P<0.05）.The body weight, blood pressure and the compliance rate of no obvious edema were significantly increased after the intervention （P<0.05）.The cases of well nourished patients evaluated by the SGA were 40 cases （44.9%） before the intervention, and were 70 cases （78.7%） after the intervention, and the difference was statistically significant （χ2 =16.49, P<0.05）.Conclusions Transtheoretical model and stages of change is beneficial to control blood pressure , improve the prognosis , and increase the life quality of maintenance hemodialysis patients . Key words: Transtheoretical model and stages of change; Hemodialysis; Health education