微信支持下个案管理模式在慢性肾炎患者中的应用效果  

Effects of case management model based on WeChat in patients with chronic nephritis

作　　者：胡秀玲[1] 代现勇 刘倩 骆纳纳 王培培 Hu Xiuling;Dai Xianyong;Liu Qian;Luo Nana;Wang Peipei(Department of Nephrology,Affiliated Hospital of Jining Medical University,Jining 272000,China)

机构地区：[1]济宁医学院附属医院肾内科,济宁272000

出　　处：《中华现代护理杂志》2023年第11期1418-1423,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨微信支持下个案管理模式对慢性肾炎患者自我护理能力和病情状态的影响。方法采用便利抽样法,选取2020年1月—2022年2月于济宁医学院附属医院肾内科实施治疗的110例慢性肾炎患者,根据所住病区不同进行分组,对照组为在一病区住院患者,研究组为在二病区住院患者,每组55例。对照组采取常规延续护理指导,研究组在对照组的基础上采取微信支持下个案管理模式,比较两组的自我护理能力、负性情绪及肾功能水平。结果护理前,两组的自我护理能力量表(ESCA)评分、广泛焦虑量表(GAD-7)评分、患者健康问卷抑郁量表(PHQ-9)评分及各项肾功能指标[血肌酐(Scr)、血尿素氮(BUN)、24 h尿蛋白(24 h UP)]比较,差异无统计学意义(P>0.05);护理后,两组的健康知识水平、自我护理技能、自护责任感、自我概念等ESCA评分均高于护理前,且研究组高于对照组,差异均有统计学意义(t值分别为4.650、2.250、3.052、3.434,P均<0.05);两组护理后的GAD-7评分、PHQ-9评分均低于护理前,且研究组低于对照组,差异均有统计学意义(t值分别为8.207、3.464,P均<0.05);两组护理后的Scr、BUN、24 h UP等肾功能指标水平低于护理前,且研究组低于对照组,差异均有统计学意义(t值分别为2.831、2.797、2.228,P均<0.05)。结论在慢性肾炎患者中应用微信支持下个案管理模式能够提升患者的自我护理能力,减轻其负性情绪,促进病情改善。Objective To explore the effect of case management model based on WeChat on self-care ability and condition status of patients with chronic nephritis.Methods From January 2020 to February 2022,convenience sampling was used to select 110 patients with chronic nephritis who were treated in the Department of Nephrology,Affiliated Hospital of Jining Medical University.The patients were divided into groups according to the different wards they lived in.The control group consisted of inpatients in the first ward and the research group of inpatients in the second ward,with 55 patients in each group.The control group received routine continuous nursing guidance,while the research group adopted the case management model based on WeChat on the basis of the control group.We compared the self-care ability,negative emotions,and renal function between the two groups.Results Before nursing,the scores of the Elderly Self-Care Ability Scale(ESCA),the Generalized Anxiety Disorder-7(GAD-7),the Patient Health Questionnaire-9(PHQ-9),and the indicators of renal function[serum creatinine(Scr),blood urea nitrogen(BUN),and 24 hours urine protein(24 h UP)]were compared between the two groups,and the differences were not statistically significant(P>0.05).After nursing,ESCA scores such as health knowledge,self-care skills,self-care responsibility,and self-concept in the two groups were higher than those before nursing,and those of the research group were higher than those of the control group,with statistical differences(t=4.650,2.250,3.052,3.434;all P<0.05).The GAD-7 score and PHQ-9 score of the two groups after nursing were lower than those before nursing,and those of the research group were lower than those of the control group,with statistically significant differences(t=8.207,3.464;all P<0.05).After nursing,the renal function indicators such as SCR,BUN,and 24 h UP in the two groups were lower than before nursing,and those of the research group were lower than those of the control group,with statistically significant differences(t=2.831

关 键 词：个案管理 微信 慢性肾炎 自我护理能力 肾功能 

分 类 号：R473.5[医药卫生—护理学]