达标理论结合微信健康教育对中青年血液透析患者自我管理效能及生活质量的影响

Effects of theory of goal attainment combined with WeChat health education on self-efficacy and quality of life in young and middle-aged patients receiving hemodialysis

目的探讨达标理论结合微信健康教育对中青年血液透析患者自我管理效能和生活质量的影响。方法采用便利抽样法,选取2015 年12 月-2017 年12 月南阳医学高等专科学校第一附属医院收治的中青年血液透析患者116 例,根据随机数字表法分成观察组与对照组,各58 例。对照组采用常规健康教育,观察组采用达标理论结合微信健康教育,两组干预时间为3 个月。分别在干预前、干预3 个月末采用血液透析病人自我管理效能问卷评估患者的自我效能,采用肾脏疾病特异性调查表(KDQ 量表)评价两组患者生活质量。结果干预后,观察组自我效能总分为(180.11±13.98)分,对照组(153.31±11.76)分,差异有统计学意义(P < 0.05)。干预后观察组生活质量总分(126.54±9.72)分,对照组(104.55±13.68)分,差异有统计学意义(P< 0.05)。结论达标理论结合微信健康教育能够提高中青年血液透析患者的自我管理效能,改善其生活质量。

Objective To explore the effects of the theory of goal attainment combined WeChat health education on self-efficacy and quality of life in young and middle-aged patients receiving hemodialysis. Methods Totally 116 young and middle-aged patients receiving hemodialysis in the First Affiliated Hospital of Nanyang Medical College between December 2015 and December 2017 were selected and divided into the observation group( n=58) and the control group( n=58) according to the random number table. Patients in the control group received conventional health education, while patients in the observation group received health education based on WeChat combined with the theory of goal attainment for 3 months. The Self-Efficacy Questionnaire for Hemodialysis Patients was used to evaluate the patients' self-efficacy, and the Kidney Disease Questionnaire( KDQ) was used to evaluate the quality of life between the two groups 3 months before and after the intervention. Results The self-efficacy in the observation group totaled( 180.11±13.98) post, while that in the control group totaled( 153.31±11.76)( P < 0.05). The quality of life in the observation group scored (126.54±9.72), whereas that in the control group was( 104.55±13.68)( P<0.05). Conclusions The theory of goal attainment combined WeChat health education can improve the self-efficacy and quality of life in young and middle-aged patients receiving hemodialysis.