手机微信访视在血液透析病人中的应用效果观察  

Effect observation on application of mobile phone wechat visit in hemodialysis patients

作　　者：陆晓云[1] LU Xiaoyun(Jiangyin Hospital of Traditional Chinese Medicine,Jiangsu 214400 China)

机构地区：[1]江阴市中医院,江苏214400

出　　处：《循证护理》2021年第10期1303-1306,共4页Chinese Evidence-Based Nursing

摘　　要：目的:探究手机微信访视干预应用于血液透析病人中的效果。方法:选取我院2018年2月—2020年2月收治的血液透析病人102例,按随机数字表法分为两组,每组51例,对照组行常规干预,观察组行常规干预基础上增加手机微信访视干预。比较两组干预前后疾病知识知晓率、自我管理能力、自我效能感及并发症发生率。结果:观察组干预6个月后营养饮食、合理用药、健康心理重要性、内瘘/导管护理、血液透析注意事项、并发症预防、定期复查重要性的知晓率均高于对照组,差异有统计学意义(P<0.05);观察组干预6个月后自我护理、伙伴关系、问题解决、情绪处理、自我管理水平总分均高于对照组,差异有统计学意义(P<0.05);观察组干预6个月后与医生的沟通、疾病共性的管理、角色功能的实现、疲劳的控制、疼痛的控制、情绪的控制、自我效能感总分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:基于手机微信访视干预可提升血液透析病人的疾病知识知晓率和自我效能感,增强自我管理能力,降低并发症发生率。Objective:To explore the application effect of mobile phone wechat visit intervention in hemodialysis patients.Methods:Totally 102 hemodialysis patients in our hospital from February 2018 to February 2020,were selected and randomly divided into two groups There were 51 cases in each group according to the random number table.The control group received routine intervention,while the observation group received mobile phone wechat visit on the base routine intervention.The awareness rate of disease knowledge,self-management ability,self-efficacy and the incidence of complications were compared between the two groups before and after intervention.Results:After 6 months of intervention,the awareness rates of nutritional diet,rational drug use,importance of health psychology,fistula/catheter care,matters needing attention in hemodialysis,prevention of complications,and importance of regular review in the observation group were higher than those in the control group.The differences were statistncally different(P<0.05).After six months intervention,the total scores of self-care,partnership,problem solving,emotional management and self-management in the observation group were higher than those in the control group.There were statistical differences(P<0.05).The total scores of communication with doctors,management of common diseases,realization of role function,control of fatigue,pain,emotion and self-efficacy in the observation group were higher than those in the control group.There differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The intervention based on mobile phone wechat visit could improve the awareness rate of disease knowledge and self-efficacy of hemodialysis patients,enhance self-management ability,and reduce the incidence of complications.

关 键 词：手机微信访视 护理干预 血液透析 疾病知识知晓率 自我管理能力 自我效能感 并发症 

分 类 号：R473.5[医药卫生—护理学]