目的探讨激励健康教育模式在维持性血液透析患者容量控制和生存质量改善中的应用效果。方法本研究纳入本中心共152 例维持性血液透析患者，男88 例，女64 例，年龄20～75 岁；随机分为对照组和激励组，每组各76 例。对照组采用传统健康教育模式，激励组采用激励健康教育模式。评估并记录患者入组前和入组后3、6、12 月后容量控制达标率、血压达标率和心力衰竭定量标志物脑尿钠肽水平，并利用健康调查简表(the MOS 36-Item Short Form Health Survey, SF-36)评估患者生活质量。结果入组后3 月激励组患者的容量控制达标率显著高于对照组(χ2=9.581，P=0.031)。入组后6 月激励组患者的血压达标率显著高于对照组(χ2= 15.692，P＜0.001)；生活质量评分量表中躯体生理功能(74.92 ± 20.86 比64.43 ± 24.26，t=2.412，P=0.021)、生理职能(55.22 ± 19.09 比43.19 ± 27.68，t=
2.414，P=0.020)、情感职能(71.31±33.41 比60.67±41.11，t=2.042，P=0.007)分值均显著高于对照组；脑尿钠肽水平显著低于对照组[(139.78 ± 46.62 )pg/ml 比(200.09 ± 26.21)pg/ml，t=5.689，P＜0.001]。结论激励健康教育模式比传统健康教育模式更加利于维持性透析患者的容量控制和透析患者生存质量的提高。

Objective To investigate the effect of incentive health education mode on the improvement of volume control and life quality in maintenance hemodialysis (MHD) patients. Methods A total of 152 MHD patients (88 males and 64 females, 20~75 years old) were recruited in this study. They were randomly divided into control group (n=76) and incentive group (n=76). The traditional health education mode was used in control group, while the novel incentive mode of health education was used incentive group. The volume control rate, BP control rate, and BNP level were evaluated after the health education mode for 0, 3, 6, and 12 months. The quality of life in patients was assessed by SF-36 scale. Results At the 3rd month of education, the volume control rate was significantly higher in incentive group than in control group (χ2=9.581, P=0.031). At the 6th month of education, incentive group had a higher BP control rate (χ2=15.692, P＜0.001), a higher
physical functioning score (74.92 ± 20.86 vs. 64.43 ± 24.26; t=2.412, P=0.021), a higher role- physical score (55.22±19.09 vs. 43.19±27.68; t=2.414, P=0.020), and a higher role-emotional perception score (71.31±33.41 vs. 60.67 ± 41.11; t=2.042, P=0.007); BNP level was also lower in incentive group than in control group (139.78 ± 46.62 pg/ml vs. 200.09 ± 26.21 pg/ml; t=5.689, P＜0.001). Conclusion The incentive mode of health education is better than the traditional education mode in improvement of volume control and life quality in MHD patients.