线上线下延续护理对自体动静脉内瘘成熟期患者的影响

Effect of online plus offline continuous nursing on self-management ability of patients with maturing autogenous arteriovenous fistula

目的探讨线上线下联合的延续护理对自体动静脉内瘘成熟期患者自我管理能力的影响。方法将243例行自体动静脉内瘘术患者按照住院时间分为对照组121例和观察组122例。对照组实施常规延续护理,观察组实施线上线下联合的延续护理,包括住院期间线下健康教育和出院后线上利用移动宣教平台进行居家护理指导。比较两组自体动静脉内瘘成熟情况、自体动静脉内瘘护理能力及延续护理满意度。结果干预后,观察组自体动静脉内瘘成熟情况、内瘘护理能力各条目评分及患者对延续护理满意度显著高于对照组(均P<0.05)。结论线上线下联合的延续护理能够促进自体动静脉内瘘的成熟,改善患者内瘘自我管理能力,提高患者对护理工作的满意度。

Objective To explore the effect of online plus offline continuous nursing on self-management ability of patients with maturing autogenous arteriovenous fistula(AVF).Methods A total of 243 patients undergoing AVF creation were selected by conve-nience sampling method,and divided into a control group(n=121)and an intervention group(n=122)according to chronological order.The control group was given routine continuous nursing service,while the intervention group was subjected to online plus offline continuous nursing service:they received offline health education during hospitalization,and online guidance which was delivered through a mobile platform when they were discharged home.The maturity of AVF,AVF self-care ability and patient satisfaction with continuous nursing were compared between the two groups.Results The maturity of AVF,score of each item of AVF self-care ability,and satisfaction with continuous nursing,in the intervention group were significantly higher than those in the control group(P<0.05 for all).Conclusion The combination of online and offline continuous nursing can boost the maturation of AVF,improve self-management ability of patients,and improve patient satisfaction with nursing work.