Snyder希望理论结合微信平台的随访管理在慢性肾脏病患者持续家庭关护模式中的应用  

Application of Snyder's hope theory combined with follow-up management based on Wechat platform in continuous family care mode for patients with chronic kidney disease

作　　者：杨柳 马旭 高瑞瑞 米爱红 YANG Liu;MA Xu;GAO Rui-rui;MI Ai-hong(Blood Purification Center,Henan Provincial Third People's Hospital,Zhengzhou 450000,Henan,CHINA;Department of Nephrology,Henan Provincial Third People's Hospital,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]河南省直第三人民医院血液净化中心,河南郑州450000 [2]河南省直第三人民医院肾内科,河南郑州450000

出　　处：《海南医学》2025年第2期287-291,共5页Hainan Medical Journal

基　　金：河南省卫生健康委医学科技攻关计划联合共建项目(编号:LHGJ20190521)。

摘　　要：目的探讨Snyder希望理论结合微信平台的随访管理在慢性肾脏病患者持续家庭关护模式中的应用效果。方法选择2022年2月至2024年2月河南省直第三人民医院收治的90例慢性肾脏病患者作为研究对象,按照随机数表法分为观察组和对照组各45例。对照组患者采用常规管理,观察组患者采用Snyder希望理论结合微信平台的随访管理,两组患者均持续干预至出院,出院后随访3个月。比较两组患者干预前、随访3个月时的慢性肾脏病患者自我管理量表评分、Herth希望量表评分、血肌酐(Scr)、估算的肾小球滤过率(eGFR)的变化,并比较两组患者随访3个月时对管理的满意度。结果干预前,两组患者的自我管理量表评分比较差异无统计学意义(P>0.05);随访3个月时,观察组患者自我管理量表评分中的饮食、治疗、躯体活动、社会心理管理评分分别为(34.21±3.15)分、(23.13±1.91)分、(13.34±1.10)分、(14.45±1.03)分,明显高于对照组的(30.08±3.24)分、(21.59±1.84)分、(12.42±1.18)分、(13.07±1.12)分,差异均有统计学意义(P<0.05)。干预前,两组患者的Herth希望量表评分比较差异无统计学意义(P>0.05);随访3个月时,观察组患者Herth希望量表评分中的对现实和未来的态度、与他人保持亲密关系、采取积极行动评分分别为(12.15±1.48)分、(12.71±1.54)分、(11.84±1.62)分,明显高于对照组的(10.06±1.51)分、(10.29±1.67)分、(9.78±1.73)分,差异均有统计学意义(P<0.05)。干预前,两组患者的Scr、eGFR比较差异均无统计学意义(P>0.05);随访3个月时,观察组患者的Scr为(131.06±10.51)μmol/L,明显低于对照组的(146.83±12.32)μmol/L,eGFR为(73.03±7.69)mL/min,明显高于对照组的(68.94±6.26)mL/min,差异均有统计学意义(P<0.05)。随访3个月时,观察组患者对管理的总满意率为91.11%,明显高于对照组的73.33%,差异有统计学意义(P<0.05)。结论Snyder希望理论结合微信平台的随�Objective To explore the application effect of Snyder's hope theory combined with follow-up management based on Wechat platform in continuous home care mode for patients with chronic kidney disease.Methods A total of 90 patients with chronic kidney disease admitted to Henan Provincial Third People's Hospital from February 2022 to February 2024 were selected and divided into an observation group and a control group by random number table method,with 45 patients in each group.Patients in the control group were treated with routine management,and those in the observation group were treated with Snyder's hope theory combined with follow-up management based on Wechat platform,until discharge.All the patients were followed up for 3 months after discharge.The changes of Self-management Scale Score for chronic kidney disease patients,Herth Hope Scale score,blood creatinine(SCr)and estimated glomerular filtration rate(eGFR)before intervention and after 3 months of follow-up were compared between the two groups.The satisfaction of patients with management after 3 months of follow-up was compared between the two groups.Results Before intervention,there was no significant difference in Self-management Scale scores between the two groups(P>0.05);after 3 months of follow-up,the diet,treatment,physical activity,and social psychological management scores of Self-management Scale in the observation group were(34.21±3.15)points,(23.13±1.91)points,(13.34±1.10)points,and(14.45±1.03)points,respectively,which were significantly higher than(30.08±3.24)points,(21.59±1.84)points,(12.42±1.18)points,and(13.07±1.12)points in the control group(P<0.05).Before intervention,there was no significant difference in Herth Hope Scale scores between the two groups(P>0.05);after 3 months of follow-up,the scores for attitude towards reality and future,keeping close relationship with others,and taking positive actions of Herth Hope Scale in the observation group were(12.15±1.48)points,(12.71±1.54)points,and(11.84±1.62)points,respectively,whic

关 键 词：慢性肾脏病 自我管理 Snyder希望理论 微信平台 希望水平 肾功能 

分 类 号：R473.5[医药卫生—护理学]