微信访视对腹膜透析合并高磷血症患者服药依从性的影响  

Effect of visits by WeChat on compliance of patients with hyperphosphatemia undergoing peritoneal dialysis

作　　者：汪玲珍[1] 彭鹿[1] 林静霞[2] 袁凤玲 郭军军[2] 邓丽丽[2] Wang Lingzhen;Peng Lu;Lin Jingxia;Yuan Fengling;Guo Junjun;Deng Lili(Department of Nephrology,Second Clinical Medical College,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510120,China;Department of Nursing,Guangdong Hospital of Traditional Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广州中医药大学第二临床医学院肾内科,广州510120 [2]广东省中医院护理部,广州510120

出　　处：《国际医药卫生导报》2020年第2期181-183,共3页International Medicine and Health Guidance News

基　　金：广州市中医药和中西医结合科技项目(20192A0110030);广东省中医院中医药科学技术研究专项资助(YN2019HL09)。

摘　　要：目的探讨微信访视对腹膜透析合并高磷血症患者服药依从性的影响。方法选取2018年5月至2019年2月在广州中医药大学第二临床医学院规律随访的持续不卧床腹膜透析患者40例,加入微信群随访干预达4个月以上,干预前后采用Morisky用药依从性量表评价患者的服药依从性,采用主观的满意、一般、不满意评价患者对护理服务的满意度。回顾性分析患者加入微信群前和最后一次回院随访资料。记录患者的服药依从性、血磷、血钙及护理满意度情况。结果通过微信访视对腹膜透析合并高磷血症患者进行干预后,患者服药依从性、血磷、护理满意度分别为(7.14±0.73)分、(1.92±0.34)mmol/L、97.5%,均明显优于干预前的(5.11±1.36)分、(2.11±0.32)mmol/L、80.0%,差异均有统计学意义(P<0.05)。干预后患者血钙(2.13±0.17)mmol/L,干预前(2.18±0.20)mmol/L,差异无统计学意义(P>0.05)。结论运用微信访视的方法可以提高腹膜透析合并高磷血症患者的服药依从性,降低血磷,提高护理服务满意度。Objective To explore the effect of visits by WeChat on the compliance of patients with hyperphosphatemia undergoing peritoneal dialysis.Methods 40 patients undergoing continuous ambulatory peritoneal dialysis and regularly followed up at Second Clinical Medical College,Guangzhou University of Traditional Chinese Medicine from May,2018 to February,2019 were selected.The patients were followed up for more than 4 months through a WeChat group.Before and after the intervention,Morisky Drug Compliance Scale was used to evaluate the patients'drug compliance.The subjective satisfaction,general satisfaction,and dissatisfaction were used to evaluate the patients'satisfaction with nursing services.The data before the patients joining the WeChat group and at the last follow-up were retrospectively analyzed.The compliance,blood phosphorus,blood calcium,and nursing satisfaction of the patients were recorded.Results The patients'compliance,blood phosphorus,and nursing satisfaction were(7.14±0.73),(1.92±0.34)mmol/L,and 97.5%after the intervention,which were significantly better than those before the intervention[(5.11±1.36),(2.11±0.32)mmol/L,and 80.0%;all P<0.05].There was no statistical difference in serum calcium between before and after the intervention[(2.18±0.20)mmol/L vs.(2.13±0.17)mmol/L,P>0.05].Conclusion Visits by WeChat can improve the compliance of patients with hyperphosphatemia undergoing peritoneal dialysis and the satisfaction of nursing service,and reduce blood phosphorus.

关 键 词：微信访视 腹膜透析 高磷血症 服药依从性 

分 类 号：R473[医药卫生—护理学]