摘要
评价基于微信平台的动态随访管理对尿毒症血液透析患者的影响。纳入2024年1月—2025年2月怀化市中心医院收治的120例尿毒症血液透析患者为研究对象,并将其随机分为试验组和对照组,每组各60例。对照组实施常规尿毒症血液透析宣教及随访,试验组在对照组的基础上实施基于微信平台的动态随访管理,均持续干预3个月。比较两组患者干预前后的疾病自我管理能力、生活质量、肾功能和营养状况。结果显示,干预后,试验组的SMSH、WHOQOL-BREF各维度评分及血清PA、ALB水平均高于对照组,而BUN、Scr水平均低于对照组(P<0.05)。研究发现,基于微信平台的动态随访管理有助于改善尿毒症血液透析患者的肾功能,提升其营养状况、疾病自我管理能力和生活质量,值得借鉴。
This study evaluates the impact of dynamic follow-up management based on the WeChat platform on hemodialysis patients with uremia.A total of 120 hemodialysis patients with uremia treated at Huaihua Central Hospital from January 2024 to February 2025 were selected as research subjects and randomly divided into a trial group and a control group,with 60 cases in each group.The control group received conventional uremia hemodialysis education and follow-up,while the trial group implemented dynamic follow-up management based on the WeChat platform on the basis of the control group,with both interventions lasting for 3 months.The disease self-management ability,quality of life,renal function,and nutritional status of the two groups of patients before and after intervention were compared.The results showed that after intervention,the SMSH and WHOQOL-BREF scores in each dimension of the trial group,as well as the serum PA and ALB levels,were higher than those in the control group,while the BUN and Scr levels were lower than those in the control group(P<0.05).The study found that dynamic follow-up management based on the WeChat platform helps to improve the renal function of hemodialysis patients with uremia,enhance their nutritional status,disease self-management ability,and quality of life,which is worth referring to.
作者
谢亚平
舒秋红
李清秀
彭美华
陆小军
XIE Yaping;SHU Qiuhong;LI Qingxiu;PENG Meihua;LU Xiaojun(Department of Nephrology,Huaihua Central Hospital·Huaihua Cancer Hospital,Huaihua,Hunan 418000;Department of Interventional Medicine,Huaihua Central Hospital·Huaihua Cancer Hospital,Huaihua,Hunan 418000;Department of Nursing,Huaihua Central Hospital·Huaihua Cancer Hospital,Huaihua,Hunan 418000)
出处
《科技与健康》
2025年第21期17-20,共4页
Technology and Health
基金
湖南省卫生健康委科研计划项目(D202317019359)。
关键词
动态随访管理
尿毒症
血液透析
自我管理行为
生活质量
dynamic follow-up management
uremia
hemodialysis
self-management behavior
quality of life
