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电话加短信随访对农村腹膜透析患者饮食依从性影响的效果研究 被引量:21

Effect of follow-up by telephone combined with short message on dietary adherence in rural patients undergoing peritoneal dialysis
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摘要 目的:评价电话加短信随访对农村腹膜透析患者饮食依从性影响的效果。方法:选取2014年9月至2015年6月某三级甲等医院肾内科农村腹膜透析患者103例为研究对象,干预组51例,对照组52例。对照组采用肾内科常规健康教育。干预组在此基础上,成立随访团队;建立健康档案;制定个性化干预手册;采用电话加短信对患者进行6个月的随访和指导。比较出院时、出院后1个月、3个月、6个月两组患者饮食依从性及透析相关生化指标。结果:干预组饮食依从态度、行为总分及各维度得分均好于对照组;重复测量方差分析结果存在交互效应,均随时间的变化而变化。结论:电话加短信随访能提高农村腹膜透析患者饮食依从性,改善营养状况,缓解钙磷代谢紊乱症状。 Objective: To assess the effect of follow-up intervention by telephone combined with short message on dietary adherence in rural Peritoneal Dialysis (PD) patients. Methods: Totally 103 rural PD patients were selected from September 2014 to June 2015. They were randomly divided into control group (52 cases) and intervention group (51 cases). Patients in the control group got routine health education, while the patients in intervention group received follow-up intervention by telephone combined short message after discharge. Renal Adherence Attitudes Questionnaire (RAAQ) and Renal Adherence Behavior Questionnaire (RABQ) were used to investigate their dietary adherence at baseline, 1,3 and 6 months after discharge, respectively. Results: The patients in intervention group had shown a better dietary adherence than that in the control group. The time interaction effects also existed by Repeated Measures analysis. Conclusion: The follow- up intervention by telephone combined short message could improve the dietary adherence of the rural peritoneal dialysis patients.
作者 郑晓 娄小平 李争艳 李静 杜文婷 田兴 罗静 ZHENG Xiao LOU Xiaoping LI Zhengyan LI Jing DU Wenting TIAN Xing LUO Jing(Nursing Department, The first affiliated hospital of Zhengzhou University, Zhengzhou, 450052, Chin)
出处 《中国护理管理》 CSCD 2017年第4期570-575,共6页 Chinese Nursing Management
基金 河南省教育厅高等学校重点科研项目(15A320021)
关键词 腹膜透析 患者依从性 电话 随访研究 peritoneal dialysis adherence telephone follow-up studies
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