首页|基于微信的延续性护理方案对血液透析患者的影响

基于微信的延续性护理方案对血液透析患者的影响

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目的:探讨基于微信的延续性护理方案对血液透析患者的影响。方法:选取肾内科 2019 年 6 月 1 日~2022 年 6 月 30日收治的血液透析患者 180 例,采用随机数字表法分为对照组和观察组各 90 例,对照组实施常规护理,观察组实施基于微信的延续性护理方案;比较两组钙磷代谢情况、干预前后自我护理能力[采用自我护理能力测定量表(ESCA)]、并发症发生情况、护理满意度。结果:观察组全段甲状旁腺激素(iPTH)、血钙、血磷及钙磷乘积水平均低于对照组(P<0。01);干预后,两组ESCA中自护概念、健康知识水平、自我护理技能、自护责任感评分及总分均高于干预前(P<0。01),且观察组高于对照组(P<0。01);观察组并发症发生率低于对照组(P<0。01),护理满意度高于对照组(P<0。01)。结论:对血液透析患者实施基于微信的延续性护理方案可有效改善其钙磷代谢,同时增强患者自我护理能力,降低并发症发生率,提高护理满意度。
Effect of WeChat-based Continuous Care Plan in Hemodialysis Patients
Objective:To explore the effect of the WeChat-based continuous care plan in hemodialysis patients.Methods:A total of 180 hemodialysis patients admitted to the Department of Nephrology from June 1,2019 to June 30,2022 were selected and divided into the con-trol group and the observation group of 90 cases each by the random number table method.The control group received routine care,and the observation group received continuous care plan based on WeChat.Comparison was made on the calcium and phosphorus metabolism,self-care ability before and after intervention by the Self-Care Ability Assessment Scale(ESCA),the incidence of complications,and nursing satisfaction between the two groups.Results:The total parathyroid hormone(iPTH),blood calcium,blood phosphorus and calcium-phos-phorus product levels were lower in The observation group than those in the control group(P<0.01).After intervention,the self-care con-cept,health knowledge level,self-care skills,self-care responsibility scores and total scores were higher in both groups than those before in-tervention(P<0.01),and those in the observation group were higher than those in the control group(P<0.01),the incidence of complica-tions in the observation group was lower than that in the control group(P<0.01),and the nursing satisfaction was higher than that in the control group(P<0.01).Conclusion:Implementation of WeChat-based continuous care plan in hemodialysis patients can effectively im-prove their calcium and phosphorus metabolism,while enhance their self-care ability,reduce the incidence of complications,and improve nursing satisfaction.

WeChatContinuous care planHemodialysisCalcium and phosphorus metabolismSelf-care ability

周辰君、吴楠楠、郭君丹

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山东省立第三医院 山东济南 250031

微信 延续性护理方案 血液透析 钙磷代谢 自我护理能力

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(1)
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