微信平台健康教育模式对中青年居家腹膜透析患者焦虑及抑郁的干预效果  

The intervention effect of Wechat platform health education model on anxiety and depression of young and middle-aged patients with peritoneal dialysis at home

作　　者：韦丽芳[1] 韦梅娟 赖珍琼[2] 韦俏如 王洁[2] WEI Lifang;WEI Meijuan;LAI Zhenqiong;WEI Qiaoru;WANG Jie(Physical examination center,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Department of Nephrology,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)

机构地区：[1]右江民族医学院附属医院健康体检中心,广西百色533000 [2]右江民族医学院附属医院肾内科,广西百色533000

出　　处：《右江医学》2019年第12期912-915,共4页Chinese Youjiang Medical Journal

基　　金：百色市科学研究与技术开发计划项目(20140934)

摘　　要：目的探索应用微信平台健康教育模式干预中青年居家腹膜透析患者焦虑及抑郁的效果。方法选择2016年1月至2018年12月右江民族医学院附属医院收治的122例中青年居家腹膜透析患者作为观察对象,按照健康教育模式不同,分成观察组(n=65)和对照组(n=57),观察组运用微信平台健康教育模式,针对居家腹膜透析患者焦虑、抑郁及不良事件进行重点干预,对照组则应用常规健康教育模式进行干预,观察比较两组干预的效果,干预前后的焦虑、抑郁改变情况及不良事件发生情况。结果观察组和对照组的透析总有效率分别为100.0%和89.5%,组间比较差异有统计学意义(P<0.05),观察组透析效果更优;观察组患者干预后SAS、SDS评分分别为(32.15±2.56)分和(36.71±3.02)分,均明显低于对照组的得分,差异有统计学意义(P<0.001);观察组腹膜透析不良事件发生率12.3%(8/65),明显低于对照组的36.8%(21/57),差异有统计学意义(P<0.01)。结论采用微信平台健康教育模式对中青年居家腹膜透析患者实施干预,可提高患者的透析效果,焦虑和抑郁状况明显好转,腹膜透析不良事件发生率降低,是一种可行有效的教育及管理方式,值得推广。Objective To explore the effect of Wechat health education model on anxiety and depression of young and middle-aged patients with peritoneal dialysis at home.Methods From January 2016 to December 2018,126 young and middle-aged patients with home-based peritoneal dialysis were divided into the observation group(n=65) and the control group(n=57) according to different health education modes.Wechat platform health education mode was conducted to treat patients’ anxiety,depression and adverse events in the observation group,whereas the routine health education mode was used for those in the control group.The changes of anxiety,depression and the occurrence of adverse events of two groups before and after the intervention were compared.Results The total effective rate of dialysis was 100.0% in the observation group and 89.5% in the control group.The dialysis effect of the observation group was better(P<0.05).The scores of SAS and SDS in the observation group were(32.15±2.56) and(36.71±3.02) respectively,which were significantly lower than those in the control group(P<0.001).The incidence of adverse events in the observation group was 12.3%(8/65),significantly(P<0.01) lower than that in the control group 36.8%(21/57).Conclusion Wechat platform health education model for young and middle-aged patients with peritoneal dialysis at home can improve the dialysis effect,release the anxiety and depression,and reduce the incidence of adverse events in peritoneal dialysis.It is a feasible and effective education and management mode.

关 键 词：微信平台 健康宣教 居家腹膜透析 焦虑 抑郁 不良反应 管理 

分 类 号：R473.2[医药卫生—护理学]