微信聊天机器人干预对血液透析动静脉内瘘病人心理状态、治疗依从性及并发症的影响

Influence of WeChat chat robot intervention on the psychological status,treatment compliance and complications of patients with hemodialysis arteriovenous fistula

目的:探讨微信聊天机器人干预对血液透析动静脉内瘘病人心理状态、治疗依从性和并发症的影响。方法:选取血液透析动静脉造瘘病人120例,采用随机数字表法分为观察组和对照组,每组60例;对照组予以常规心理护理干预,观察组在对照组的基础上予以微信聊天机器人干预,连续干预4个月。比较2组病人干预后心理状态、治疗依从性和并发症发生情况。结果:干预后观察组SAS评分为(30.12±6.33)分、SDS评分为(40.32±6.54)分,均低于对照组的(36.21±5.87)分、(45.36±6.11)分(P<0.01);治疗依从性评分,观察组饮食依从性为(36.23±2.15)分、液体摄入依从为(27.11±2.07)分、用药依从为(24.01±0.85)分、透析方案依从为(19.04±0.32)分,均高于对照组的(34.64±2.37)分、(26.31±2.04)分、(23.61±0.56)分、(18.91±0.40)分(P<0.05~P<0.01);观察组并发症发生率为3.33%,低于对照组的18.33%(P<0.01),观察组并发症发生风险低于对照组(log-rankχ^(2)=4.65,P<0.05)。结论:相对于常规护理干预,应用微信聊天机器人干预后血液透析动静脉内瘘病人的心理状态较好、治疗依从性较高、并发症较低。

Objective:To investigate the influence of WeChat chat robot intervention on the psychological status,treatment compliance and complications of patients with hemodialysis arteriovenous fistula.Methods:A total of 120 patients with hemodialysis arteriovenous fistula were prospectively selected and divided into observation group and control group by random number table method,with 60 cases in each group.The control group received routine psychological care intervention,while the observation group was given WeChat chat robot intervention on the basis of the control group for 4 consecutive months.The psychological status,treatment compliance and complications of the two groups of patients after intervention were compared.Results:After the intervention,the SAS score of(30.12±6.33)points and SDS score of(40.32±6.54)points in the observation group were lower than those of the control group(36.21±5.87)points and(45.36±6.11)points(P<0.01);as for the treatment compliance score,the observation group was compliant with diet was(36.23±2.15)points,fluid intake compliance was(27.11±2.07)points,medication compliance was(24.01±0.85)points,and dialysis protocol compliance was(19.04±0.32)points which were higher than those in the control group(34.64±2.37)points,(26.31±2.04)points,(23.61±0.56)points,(18.91±0.40)points(P<0.05 to P<0.01);the complication rate of the observation group was 3.33%,which was lower than that of the control group 18.33%(P<0.01),and the complication risk of the observation group lower than that in the control group(log-rankχ^(2)=4.65,P<0.05).Conclusions:Compared with conventional nursing intervention,the application of Wechat chat robot intervention in hemodialysis arteriovenous fistula patients results in better mental state,higher treatment compliance,and lower complications.