摘要
目的评估基于电话随访的健康教育模式对慢性肾脏病(CKD)1~3期患者自我管理能力的影响。方法选择2019年1月—2020年6月肾内科接受治疗并出院的CKD患者68例,随机分为干预组33例(脱落1例)和对照组31例(脱落3例)。对照组开展常规的出院后健康教育,干预组在对照组基础上于6个月期间接受6次电话干预。评估2组干预前及干预6个月后的自我管理能力以及肾功能情况。结果干预6个月后,干预组患者解决问题、寻求社会支持、遵医行为以及总分较干预前差异有统计学意义(P<0.05),且干预组寻求社会支持、遵医行为以及总分高于对照组,差异有统计学意义(P<0.05)。干预6个月后,2组患者UA及Scr水平降低,但差异无统计学意义(P>0.05);2组患者Alb较基线均升高,且干预组改善优于对照组(P<0.05)。结论基于电话随访的健康教育模式有助于提高CKD患者的自我管理能力。
Objective To evaluate the effect of health education model based on telephone follow-up on self-management skills in patients with stage 1-3 chronic kidney disease(CKD).Methods A total of 68 patients with stage 1-3 CKD who were treated and discharged from the department of nephrology in the hospital from January 2019 to June 2020,and randomly divided into intervention group(n=33,1 case was lost to follow-up)and control group(n=31,3 cases were lost to follow-up).The control group received routine post-discharge health education,and the intervention group received telephone intervention 6 times during 6 months.The effects of the two groups were evaluated by Self-report instrument Chronic Kidney Disease Self-management(CKD-SM)and renal function at baseline and follow-up for 6 months.Results The factors scores of problem-solving,social support seeking,treatment compliance and total score of CKDSM in the intervention group were significantly higher than those in the baseline(P<0.05).The factors scores of social support seeking,treatment compliance and total score of CKD-SM were significantly higher than those in the control group(P<0.05).The levels of UA and Scr were de⁃creased in both two groups at 6 months after intervention,but without a significant difference be⁃tween two group(P>0.05).Patients in the intervention group had a better Alb level compared with those in the control group after intervention(P<0.05).Conclusion The health education model based on telephone follow-up can improve the self-management ability in CKD patients.
作者
史慧琴
刘颍
SHI Huiqin;LIU Ying(Department of Internal Medicine,Tianshan Hospital of Traditional Chinese Medicine,Shanghai,200051)
出处
《中西医结合护理》
2021年第2期75-78,共4页
Chinese Journal of Integrative Nursing
基金
天山中医医院科研课题(2018SKY10)。
关键词
电话随访
健康教育
慢性肾脏病
自我管理
telephone follow-up
health education
chronic kidney disease
self-management
