关键词: 血液透析, 肾疾病, 健康教育, 横断面研究, 中医护理学

Abstract:

Objective To understand the proficiency level and sources of Traditional Chinese Medicine（TCM） health education among hemodialysis patients，in order to provide the basis for promoting the application of TCM nursing in hemodialysis patients. Methods Utilizing a convenience sampling approach，we conducted a survey from April to May 2023 involving hemodialysis patients from 7 tertiary TCM hospitals across Beijing，Hebei Province，Sichuan Province，and other regions. Custom-made questionnaires were utilized，gathering general information，responses concerning the level of mastery on TCM health education，and their primary sources of such knowledge. Results A total of 413 questionnaires were disseminated，and 392 proved valid，yielding a valid response rate of 94.92%. The score of patient’s knowledge on TCM health education averaged（8.25±3.73），and an average score rate of 48.53% was obtained. In the patients undergoing hemodialysis，a relatively larger number of people possess knowledge of TCM health knowledge about relieving symptoms（50.8%~55.9%） and traditional Chinese daily life routines（56.4%~90.1%）. However，fewer people are aware of how to use the five-tone therapy method for emotional inter-vention （40.8%） and principle of taking restorative Traditional Chinese Medicine （24.5%~36.7%），the dietary prin-ciples of “nurturing yang in spring and summer, and nurturing yin in autumn and winter” （14.3%），and theories of TCM kidney functions （9.9%）. Approximately 23.0% of the patients sourced their TCM health education knowledge from new media platforms. Compared with new media method alone，patients who utilized only traditional educational platforms（P=0.020），and those who combined both new media and traditional methods（P=0.018） demonstrated higher proficiency in TCM health education. Conclusion Hemodialysis caregivers are urged to develop a TCM health education framework that emphasizes emotional well-being and traditional wellness concepts，thereby fostering patient-centric TCM health ideologies. Hemodialysis education personnel are encouraged to leverage new media whilst ensuring education quality and effective outcomes.

Key words: Hemodialysis, Kidney Disease, Health Education, Cross-Sectional Studies, Traditional Chinese Medicine Nursing Care