Chinese Journal of Nursing Education >
Application of health education based on board game in volume management of elderly patients with maintenance hemodialysis
Received date: 2023-04-07
Online published: 2023-08-17
Objective To explore the effect of health education based on board game in volume management of elderly patients with maintenance hemodialysis. Methods From July 2022 to January 2023，convenience sampling method was adopted to recruit 90 elderly patients who received maintenance hemodialysis in a tertiary hospital in Shanxi Province. These participants were divided into an experimental group and a control group by a random number table method. The experimental group adopted the health education program based on board game including preliminary understanding of board games，knowledge enhancement，role exchange and integration. Meanwhile the control group received routine health education program. The satisfaction of patients in the experimental group with board game was investigated，and the scores of hemodialysis disease knowledge，volume management behavior and rate of volume control were compared between the two groups after the intervention. Results A total of 43 patients in the intervention group and 42 patients in the control group had completed the study. After the intervention，86% of the patients in the experimental group were highly satisfied with board game. The scores of hemodialysis disease knowledge，volume management behavior in the intervention group were（19.19±2.03） and （21.49±1.82） respectively，which were higher than those of patients in the control group of（16.48±2.63） and（16.86±1.96）（t=5.335，11.306；P<0.001）. In addition，the rate of volume control in the experimental group was 79%，higher than that of 55% in the control group（χ2=5.683，P<0.05）. Conclusion The implementation of health education based on board game can effectively improve the knowledge level of elderly patients of maintenance hemodialysis，enhance volume management behavior and the compliance rate of volume control.
Key words： Hemodiafiltration; Aged; Plasma Volume; Health Education; Board game
Caihong MA , Huanling GAO , Chune SHANG , Hongmei LI , Yulin YANG , Xujing Lü , Siyuan ZHANG , Caicai CUI . Application of health education based on board game in volume management of elderly patients with maintenance hemodialysis[J]. Chinese Journal of Nursing Education, 2023 , 20(8) : 901 -908 . DOI: 10.3761/j.issn.1672-9234.2023.08.001
| [1] | Brar A, Mallappallil M, Stefanov DG, et al. Dialysis in the elderly and impact of institutionalization in the United States renal data system[J]. Am J Nephrol, 2017, 46(2):114-119. |
| [2] | 张朝阳, 蔡广研. 老年血液透析患者预后影响因素研究进展[J]. 中国实用内科杂志, 2021, 41(11):913-916. |
| [2] | Zhang ZY, Cai GY. Research progress in prognostic factors of elderly patients on hemodialysis[J]. China Ind Econ, 2021, 41(11):913-916. |
| [3] | 郭佳钰, 侯惠如, 张瑞芹, 等. 维持性血液透析患者容量负荷评估与管理的最佳证据总结[J]. 中华护理杂志, 2021, 56(10):1490-1497. |
| [3] | Guo JY, Hou HR, Zhang RQ, et al. Summary of the best evidence for the assessment and management of volume load in maintenance hemodialysis patients[J]. Chin J Nurs, 2021, 56(10):1490-1497. |
| [4] | 王爽, 黄海燕, 吕芳芳, 等. 维持性血液透析患者容量管理的最佳证据总结[J]. 护理学杂志, 2021, 36(2):84-87,104. |
| [4] | Wang S, Huang HY, Lü FF, et al. Evidence summary on fluid management in maintenance hemodialysis patients[J]. J Nurs Sci, 2021, 36(2):84-87,104. |
| [5] | Loutradis C, Sarafidis PA, Ferro CJ, et al. Volume overload in hemodialysis:diagnosis,cardiovascular consequences,and mana-gement[J]. Nephrol Dial Transplant, 2021, 36(12):2182-2193. |
| [6] | See EJ, Polkinghorne KR. Volume management in haemodialysis patients[J]. Curr Opin Nephrol Hypertens, 2020, 29(6):663-670. |
| [7] | 苏西凤, 李玲, 郄淑文, 等. 动机访谈式健康教育在老年腹膜透析病人中的应用[J]. 护理研究, 2019, 33(20):3603-3605. |
| [7] | Su XF, Li L, Qie SW, et al. Application of health education based on motivatal interviewing in elderly patients undergoing peritoneal dialysis[J]. Chin Nurs Res, 2019, 33(20):3603-3605. |
| [8] | 苏义冬, 莫懿晗, 董欣, 等. 健康教育棋盘游戏在护理领域中的研究进展[J]. 中华护理教育, 2022, 19(6):572-576. |
| [8] | Su YD, Mo YH, Dong X, et al. A review of the health education board game in nursing[J]. Chin J Nurs Educ, 2022, 19(6):572-576. |
| [9] | Gauthier A, Kato PM, Bul KCM, et al. Board games for health:a systematic literature review and meta-analysis[J]. Games Health J, 2019, 8(2):85-100. |
| [10] | Olympio PCAP, Alvim NAT. Board games:gerotechnology in nursing care practice[J]. Rev Bras Enferm, 2018, 71(Suppl 2):818-826. |
| [11] | Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician[J]. J Psychiatr Res, 1975, 12(3):189-198. |
| [12] | Epstein DS, Zemski A, Enticott J, et al. Tabletop board game elements and gamification interventions for health behavior change:realist review and proposal of a game design framework[J]. JMIR Serious Games, 2021, 9(1):e23302. |
| [13] | 梅长林, 高翔, 叶朝阳. 实用透析手册[M]. 3版. 北京: 人民卫生出版社, 2017. |
| [13] | Mei CL, Gao X, Ye CY. Practical dialysis handbook[M]. 3rd ed. Beijing: People’s Medical Publishing House, 2017. |
| [14] | Amaritakomol A, Kanjanavanit R, Suwankruhasn N, et al. Enhancing knowledge and self-care behavior of heart failure patients by interactive educational board game[J]. Games Health J, 2019, 8(3):177-186. |
| [15] | Renal replacement therapy and conservative management[EB/OL]. (2018-10-03)[2022-09-26]. https://www.nice.org.uk/guidance/ng107. |
| [16] | 李慧. 血液透析患者自我管理现状及影响因素的研究[D]. 北京: 北京协和医学院, 2011. |
| [16] | Li H. Study on self-management status and influencing factors of hemodialysis patients[D]. Beijing: Peking Union Medical College, 2011. |
| [17] | 董丽, 石彬, 王海芳, 等. 维持性血液透析患者容量管理行为量表的编制及信效度检验[J]. 护理学杂志, 2017, 32(21):22-25. |
| [17] | Dong L, Shi B, Wang HF, et al. Capacity management behavior scale for maintenance hemodialysis patients:development and validation[J]. J Nurs Sci, 2017, 32(21):22-25. |
| [18] | 王焕, 邢立辉. 健康信念模式对血液透析病人液体摄入依从性的影响[J]. 护理研究, 2012, 26(30):2826-2827. |
| [18] | Wang H, Xing LH. Analysis on effect of health beliefs model for fluid intake compliance of hemodialysis patients[J]. Chin Nurs Res, 2012, 26(30):2826-2827. |
| [19] | Chang YS, Hu SH, Kuo SW, et al. Effects of board game play on nursing students’ medication knowledge:a randomized controlled trial[J]. Nurse Educ Pract, 2022, 63:103412. |
| [20] | 刘珊珊, 张冰, 李晶, 等. LEARNS模式在老年高血压患者健康教育中的应用[J]. 护理学杂志, 2022, 37(8):76-79. |
| [20] | Liu SS, Zhang B, Li J, et al. Health education for elderly patients with hypertension based on LEARNS model[J]. J Nurs Sci, 2022, 37(8):76-79. |
| [21] | Martins FDP, Leal LP, Linhares FMP, et al. Effect of the board game as educational technology on schoolchildren’s knowledge on breastfeeding1[J]. Rev Lat Am Enfermagem, 2018, 26:e3049. |
| [22] | 杨雅景, 郑娜. 时效性激励理论的健康教育在维持性血液透析患者体重管理中的应用研究[J]. 中国健康教育, 2022, 38(4):367-370. |
| [22] | Yang YJ, Zheng N. Research on theapplication of health education based on time-effectiveness incentive theory in weight management of maintenance hemodialysis patients[J]. Chin J Health Educ, 2022, 38(4):367-370. |
| [23] | Alikari V, Matziou V, Tsironi M, et al. Patient knowledge,adherence to the therapeutic regimen,and quality of life in hemodialysis:knowledge,adherence,and quality of life in hemodialysis[J]. Adv Exp Med Biol, 2021, 1337:259-272. |
| [24] | 张敬丽, 赵素梅, 王晶, 等. 自我管理行为与难控性透析间期体重增加值的相关性分析[J]. 中华护理杂志, 2013, 48(9):822-824. |
| [24] | Zhang JL, Zhao SM, Wang J, et al. The relationship between self-management behaviors and weight gains in patients with hemodialysis[J]. Chin J Nurs, 2013, 48(9):822-824. |
| [25] | 关永莲, 顾毅, 蒋影. 老年维持性血液透析病人心理脆弱现状及其与希望水平和社会影响的相关性[J]. 护理研究, 2022, 36(22):3977-3981. |
| [25] | Guan YL, Gu Y, Jiang Y. Status quo of mental vulnerability in elderly maintenance hemodialysis patients and its correlation with hope level and social impact[J]. Chin Nurs Res, 2022, 36(22):3977-3981. |
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