微信随访在自体动静脉内瘘血透患者中的应用研究

Study on Application of WeChat Follow-up in Patients with Arteriovenous Fistula for Hemodialysis

目的观察自体动静脉内瘘患者在功能锻炼期通过微信随访进行专项健康教育的效果。方法选取我科2018年6月至2019年6月行自体动静脉内瘘吻合术的40例患者,将其分为观察组和对照组,每组20例。对照组实施常规健康教育和电话随访模式,观察组实施内瘘专项健康教育联合微信随访模式,比较两组患者功能锻炼期的内瘘知识得分,高磷血症、血透中低血压、低血糖并发症发生率,穿刺部位不良事件发生率及自我管理能力得分。结果观察组患者的内瘘知识得分和自我管理能力得分均高于对照组,血透中低血压、低血糖并发症和穿刺部位不良事件发生率低于对照组,差异有统计学意义(p<0.05)。结论对自体动静脉内瘘患者实施专项健康教育联合微信随访,可提高患者内瘘知识水平,减少血透中低血压、低血糖并发症,减少穿刺部位不良事件发生率,提高患者自我管理能力。

Objective To explore the effects of special health education combined with WeChat follow-up in the patients with arteriovenous fistula(AVF)during function exercise stage.Methods A total of 40 patients receiving AVF from June 2018 to June 2019 in our department were selected and divided into the observation group(n=20)and the control group(n=20).The control group were given health education and telephone follow-up,while the observation group received special health education combined with WeChat follow-up.The two groups were compared for their scores of fistula knowledge,the incidence of hyperphosphatemia,hypotension,and hypoglycemia,incidence of adverse events at the puncture site during function exercise stage,and selfmanagement score.Results The observation group showed higher score of fistula knowledge and self-management,and lower incidence of hypotension,hypoglycemia,and adverse events at the puncture site(p<0.05).Conclusion Special health education combined with WeChat follow-up for the patients with AVF can improve their knowledge of AVF,reduce the incidence of hypotension,hypoglycemia,and adverse events at the puncture site,and improve their self-management ability.