微信群联合教练式干预对农村居家腹膜透析患者知识知晓率的影响

Influence of Wechat group combined with coaching intervention on knowledge awareness rate of rural patients with home peritoneal dialysis

目的 探讨运用微信群联合教练式干预对提高农村居家腹膜透析患者相关知识知晓率、健康行为依从性,继而改善预后的效果。方法 选取2020年7月至2022年1月收治并符合要求的农村腹膜透析患者60例,按照随机数字表法分为对照组和观察组,每组30例。对照组患者行常规干预,观察组给予微信群联合教练式干预;观察2组患者疾病相关知识知晓率、健康行为依从性,评估患者营养状态改善情况,统计干预期间患者并发症发生情况。结果 干预3、6个月后,患者疾病相关知识知晓程度评分高于干预前,且观察组评分高于对照组(P<0.05)。干预3、6个月后,患者健康行为依从性评分高于干预前,且观察组评分高于对照组(P<0.05)。干预3、6个月后,患者营养不良-炎症评分(MIS)评分低于干预前,且观察组评分低于对照组(P<0.05)。观察组并发症发生率为16.67%低于对照组的40.00%(P<0.05)。结论 基于微信群联合教练式干预下,有助于提升农村居家腹膜透析患者疾病相关知识知晓率,养成健康行为,在促进患者营养状态改善的同时,可有效预防或减少并发症发生。

Objective To explore the effect of Wechat group combined with coaching intervention on improving knowledge awareness and health behavior compliance of rural patients with home peritoneal dialysis,thus improving the prognosis.Methods Totally 60 eligible rural peritoneal dialysis patients from July 2020 to January 2022 were selected as the objects.They were randomly divided into control group and observation group,with 30 cases in each group.Routine intervention,and Wechat group combined with coaching intervention were performed in control group and observation group,respectively.Disease-related knowledge awareness rate and health behavior compliance of patients in the two groups were compared.The improvement of nutritional status of patients was assessed,and the incidence of complications during the intervention was statistically analyzed.Results After 3 and 6 months of intervention,the scores of disease-related knowledge of patients were significantly higher than those before intervention,which were significantly higher in the observation group than those of control group(P<0.05).After 3 and 6 months of intervention,the health behavior compliance scores of patients were significantly higher than those before intervention,which were significantly higher in the observation group than those of control group(P<0.05).After 3 and 6 months of intervention,the Malnutrition-Inflammation Score(MIS)was significantly lower than that before intervention,which was significantly lower in the observation group than that of control group(P<0.05).The complication rate of observation group was significantly lower than that of control group(16.67%vs 40.00%,P<0.05).Conclusion Wechat group combined with coaching intervention can help improve the awareness rate of disease-related knowledge of rural patients with home peritoneal dialysis,develop healthy behaviors,promote the improvement of nutritional status,and effectively prevent or reduce the occurrence of complications.