基于微信平台的健康教育延续性护理对慢性肾衰竭患者治疗效果的影响

Influence of Health Education Continuous Nursing Based on WeChat Platform on the Therapeutic Effect of Patients with Chronic Renal Failure

目的探讨基于微信平台的健康教育延续性护理对慢性肾衰竭患者治疗效果的影响。方法选择我院2022年9月—2023年9月收治的60例慢性肾衰竭患者为研究对象,按照随机数字表法将其分为对照组与研究组,各30例。对照组采用常规护理,研究组在常规护理基础上采用基于微信平台的健康教育延续性护理,比较两组患者的心理状态、自我管理行为、生活质量及护理满意度。结果护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,组间差异无统计学意义(P>0.05);护理后,研究组SAS、SDS评分均低于对照组,组间差异有统计学意义(P<0.05)。护理前,两组自我管理行为各评分比较,组间差异无统计学意义(P>0.05);护理后,研究组液体和电解质摄入限制、饮食量管理、躯体和社会心理活动、一般状态管理和社会心理行为评分均高于对照组,组间差异有统计学意义(P<0.05)。护理前,两组慢性病患者生命质量测定量表-慢性肾衰竭(QLICD-CRF)中的共性模块、特异模块评分及总分比较,组间差异无统计学意义(P>0.05);护理后,研究组QLICD-CRF中的共性模块、特异模块评分及总评分均高于对照组,组间差异有统计学意义(P<0.05)。研究组护理满意度为96.67%,高于对照组的76.67%,差异有统计学意义(P<0.05)。结论在慢性肾衰竭患者护理中应用基于微信平台的健康教育延续性护理效果显著,能够有效增强患者的自我管理能力,并利于患者生活质量的提高。

Objective To explore the influence of health education continuous nursing based on WeChat platform on the treatment effect of patients with chronic renal failure.Methods 60 patients with chronic renal failure admitted to our hospital from September 2022 to September 2023 were selected as the research objects,and were divided into a control group and a research group according to random number table method,with 30 cases in each group.The control group was given routine nursing,while the research group was given health education continuous nursing based on wechat platform on the basis of routine nursing.The psychological state,self-management behavior,quality of life and nursing satisfaction of patients in the two groups were compared.Results Before nursing,there were no significant differences in self-rating anxiety Scale(SAS)and self-rating Depression Scale(SDS)scores between the two groups(P>0.05);after nursing,SAS and SDS scores of the research group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Before nursing,there were no significant differences in the scores of self-management behavior between the two groups(P>0.05);after nursing,the scores of fluid and electrolyte intake restriction,diet quantity management,physical and psychosocial activities,general state management and psychosocial behavior in the research group were higher than those in the control group,with statistical significance(P<0.05).Before nursing,there were no significant differences in the scores of common modules,specific modules and total scores in QLICD-CRF between the two groups(P>0.05);after nursing,the scores of common modules,specific modules and total QLICD-CRF in the research group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Nursing satisfaction in the research group was 96.67%,higher than 76.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of health education continuous nursing based on WeChat platform in the nursing of patients with chronic renal failure is effective,which can effectively enhance patients'self-management ability and improve their quality of life.