Research of training management applying character color theory in patients with peritoneal dialysis

Abstract

Objective To evaluate the effectiveness of training management applying character color theory in patients with peritoneal dialysis on the compliance and dialysis effect. Methods Of 95 patients undergoing catherization for peritoneal dialysis from January 2013 to May 2014 in the peritoneal dialysis center, 72 patients accepted character color psychological questionnaire designed by Le Jia for character color analysis.72 patients were divided into matched control group and experimental group according to their choice with red, yellow, blue, green character color, 36 cases in each group. The control group adopted the traditional training way of accepting 7 days' training course teached by the professional nursers, one follow-up management each month. According to the difference of character color, the experimental group were given different education training courses, interactive learning, and follow-up time. After 6 months' follow-up, the two groups adopted peritoneal dialysis self management behavior questionnaire designed by Liu Pengfeng and self-efficacy scale designed by education research center for chronic disease in Amercian Stanford University. The score of self management ability and self-efficacy and the change of load capacity, blood pressure, dialysis adequacy and biochemical indicators of the two groups were analyzed. Results In the control group and experimental group, the score of self management ability and self-efficacy and the level of dialysis adequacy were statistically significant, respectively, (5.64±1.57) points vs. (6.75±1.32) points; (5.22±1.48) points vs. (6.69±1.43) points; 1.64±1.64 vs 1.85±0.13.Z and P values were respectively-2.969, -3.828, -6.361, and 0.003, 0.000, 0.000.Edema happened in the control group was 24 cases, and 11 cases in the experimental group. P andχ2 values were 0.013 and 10.017.Systolic blood pressure and diastolic blood pressure were respectively (147.78±15.69) mmHg (1 mmHg=0.133 kPa) vs.(135.39±9.01) mmHg, (95.86±7.50) mmHg vs. (83.94±7.46) mmHg in the two groups. Z and P values were respectively-3.843, -5.666, and 0.000, 0.000.There was significant difference between the experimental group and control group. Conclusion The education and training applying character color feature in patients with peritoneal dialysis can mobilize the initiative of self management, improve the patients' self-care competency and self-efficacy, enhance patients' compliance, that can improve the effect of peritoneal dialysis. Key words: Peritoneal dialysis; Character color; Education and training; Self-management; Compliance