王美玲,章海芬.数智化健康教育对维持性血透患者干体重保持效果的研究[J].上海护理,2023,23(10):
数智化健康教育对维持性血透患者干体重保持效果的研究
Effect of digital wisdom health education on maintaining dry body weight in patients undergoing maintenance permeabilization Wang Meiling, Zhang Haifeng(Reji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China)
DOI:
中文关键词:  数智化  健康教育  维持性血透  干体重
英文关键词:digital wisdom  health education  maintenance permeabilization  dry weight
基金项目:
作者单位E-mail
王美玲 上海交通大学医学院附属仁济医院 rjwangmeiling@163.com 
章海芬* 上海交通大学医学院附属仁济医院 haifenzhang@163.com 
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中文摘要:
      [目的]探究数智化健康教育对维持性血透患者干体重保持的影响情况。[方法] 选取2019年4月~2019年8月在上海市某三甲医院持续性血透患者60例,采用随机分组法,对照组与干预组各30例。对照组给予常规健康教育方法宣教,干预组采用数智化健康教育手段干预。随访3个月,采用《维持性透析患者干体重控制知信行水平问卷》测量两组患者的认知、信念及行动改变情况,并比较两组患者的并发症及干体重的增减情况。[结果] 干预后 3个月,干预组干体重知信行问卷的认知、信念、行为各维度及总分得分均高于对照组,差异具有统计学意义(t=2.15,P<0.01)。干预组并发症发生率低于对照组,差异有统计学意义(t=1.34,P<0.04);干预组患者干体重保持情况优于对照组,差异具有统计学意义(t=-2.13,P<0.04)。[结论] 数智化的健康教育相较于常规的健康宣教可以帮助维持性血透患者更好的保持干体重,增强对干体重控制的认知,强化其信念,并促进其产生良好的行为,有利于提高其生活质量。
英文摘要:
      Objective To explore the effect of digital wisdom health education on the maintenance of dry weight in patients undergoing maintenance permeabilization.. Methods A total of 60 patients who consecutive underwent sustained blood permeabilization in a hospital in Shanghai from April 2019 to August 2019 were selected and randomized, with 30 patients in each of the control and intervention groups. The control group was taught routine health education methods, and the intervention group was intervened by digital wisdom health education means. At 3-month follow-up, cognition, beliefs and actions change was measured using the informant level questionnaire on dry weight control in maintenance dialysis patients, and complications and gain of dry weight were compared between the two groups. Results Three months after intervention, the scores of cognition, belief, behavior dimensions and total score of the intervention group were higher than those of the control group, and the difference was statistically significant(t=2.15,P<0.01). The incidence of complications in the intervention group was lower than that in the control group, and the difference was statistically significant(t=1.34,P<0.04). The dry weight maintenance of the intervention group was better than that of the control group, and the difference was statistically significant(t=-2.13,P<0.04). Conclusion Digital wisdom health education can help maintenance hemodialysis patients maintain dry weight better, enhance their awareness of dry weight control, strengthen their beliefs, and promote their good behavior, which is beneficial to improve their quality of life.
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