慢性肾衰竭患者在互联网模式下的健康教育干预后对维持性腹膜透析的影响

Application of health education under Internet mode in continuous ambulatory peritoneal dialysis for patients with chronic renal failure and its effect on volume load and self-efficacy

目的互联网模式下的健康教育在慢性肾衰竭(CRF)患者维持性腹膜透析中的应用及对容量负荷、自我效能的影响。方法选取2018年4月-2019年4月收治的接受维持性腹膜透析的44例CRF患者为常规组,给予常规健康教育;另选取2018年5月-2019年5月收治的接受维持性腹膜透析的44例CRF患者为观察组,在常规组的基础上给予互联网模式下的健康教育,2组均干预3个月。对比治疗前后患者容量负荷情况:细胞外液(ECW)、尿量(UV)、超滤量;对比治疗前后患者慢性病自我效能量表评分;统计干预3个月期间2组并发症发生情况。结果研究组与对照组比较,干预前ECW、UV及超滤量差异均无统计学意义(P>0.05),干预后研究组ECW、UV较高,超滤量较低,差异均有统计学意义(P<0.05);干预后与干预前比较,研究组ECW、UV及超滤量均降低(P<0.05),对照组ECW及超滤量无明显变化(P>0.05),而对照组UV升高(P<0.05)。研究组与对照组比较,干预前慢性病自我效能评分及自我效能高水平率差异均无统计学意义(P>0.05),干预后研究组上述指标均较高,差异有统计学意义(P<0.05);干预后与干预前比较,研究组上述指标均升高(P<0.05),而对照组无明显变化(P>0.05)。研究组并发症总发生率明显低于对照组(P<0.05),且研究组生活质量各维度评分均高于对照组(P<0.05)。结论互联网模式下的健康教育可有效减轻维持性腹膜透析CRF患者的容量负荷,提高患者自我效能,并且可降低并发症发生率。

Objective To research about the application of health education based on the internet mode in continuous ambulatory peritoneal dialysis for patients with chronic renal failure(CRF)and its influences on volume load and self-efficacy.Methods A total of44 CRF patients who admitted in our hospital and received continuous ambulatory peritoneal dialysis from April 2018 to April 2019 were selected as the routine group and were given routine health education.44 patients with CRF who also received continuous ambulatory peritoneal dialysis from May 2018 to May 2019 were selected as the observation group and were given health education under the internet mode.Both groups were intervened for 3 months.The volume load of patients before and after treatment including extracellular fluid(ECW),urine output(UV),ultrafiltration volume were compared between two groups.The self-efficacy scale scores of chronic diseases before and after treatment were compared too.The occurrence rate of complications between two groups after three months of intervention were calculated.Results The differences in ECW,UV and ultrafiltration volume before the intervention between two groups was not statistically significant(P>0.05).After the intervention,the ECW,UV and ultrafiltration volume of the observation group were higher than that of the routine group,and the ultrafiltration volume of the observation groupwas lower than that of the routine group.The differences were statistically significant(P<0.05).Compared with before the intervention,the ECW,UV and ultrafiltration volume of the observation group after the intervention were reduced(P<0.05),while there were no significant changes in ECW and ultrafiltration volume in the control group(P>0.05),other than UV value increased in the group(P<0.05).Compared with the routine group,the chronic disease self-efficacy score and the high-level rate of self-efficacy before the intervention in the observation group were not statistically significantly different(P>0.05),but the above indicators after the interventionin the observation group were higher than those in the routine group,and the difference was statistically significant(P<0.05).and all above data in the observation group after the interventionwere all increased compared with those before the intervention(P<0.05),but there were no significant changes in the routine group(P>0.05).The total incidence of complications in the observation group was significantly lower than that in the routine group(P<0.05),and the scores of the quality of life at all dimensionsin the study group were higher than those in the control group(P<0.05).Conclusion Health education under the internet mode can effectively reduce the volume load of patients with CRF duringcontinuous ambulatory peritoneal dialysis,improve patient self-efficacy,and reduce the incidence of complications.