摘要
目的探讨健康管理平台在慢性肾脏病患者自我管理中的应用效果。方法采用便利抽样法,选取2018 年1—3 月陆军军医大学第一附属医院出院的72 例慢性肾脏病患者为研究对象,采用随机数字表法分为观察组和对照组,对照组采用常规健康管理,观察组在对照组的基础上通过网络健康管理平台对其实施6 个月的健康管理干预,采用慢性肾脏病病人自我管理量表比较两组患者干预前后自我管理能力的差异。随访过程中,观察组剔除3 例,对照组剔除6 例。最终观察组患者32 例,对照组31 例。结果干预后3 个月,观察组自我管理能力总分(96.22±7.39)分,对照组(86.10±8.74)分;干预后6 个月,观察组自我管理能力总分(102.16±6.80)分,对照组(92.03±6.45)分,重复测量方差分析显示,两组患者自我管理能力比较差异有统计学意义(F时间=226.734,F组间=10.931,F交互=14.318;P< 0.01)。结论健康管理平台可提高慢性肾脏病患者自我管理能力,可作为慢性肾脏病自我管理干预的有效途径。
Objective To explore the effects of health management platform on self-management in patients with chronic kidney disease( CKD). Methods Totally 72 CKD patients discharged from the First Hospital Affiliated to Army Medical University between January and March 2018 were selected using convenient sampling and divided into the observation group and the control group according to the random number table. Patients in the control group received conventional health management, while patients in the observation group received health management through the online health management platform for 6 months. The CKD Self- Management Scale was used to compare the difference in self-management ability between the two groups before and after the intervention. During the follow-up, 3 patients were excluded from the observation group and 6 from the control group. Totally 32 patients were included into the observation group and 31 into the control group. Results The observation group's self-management ability totaled( 96.22±7.39), while that of the control group totaled( 86.10±8.74) 3 months after the intervention;The observation group's self-management ability totaled (102.16±6.80), while that of the control group totaled( 92.03±6.45) 6 months after the intervention. Repeated measurement variance analysis showed that there was statistically significant difference in self-management ability between the two groups( FTime=226.374;FGroups=10.931;Fmutual=14.318;P< 0.01). Conclusions The health management platform can improve the self-management ability of CKD patients, which may be an effective pathway for CKD self-management.
作者
鄢春艳
王牡丹
谌清玲
王玉婷
杨琴
Yan Chunyan;Wang Mudan;Chen Qingling;Wang Yuting;Yang Qin(Department of Nephrology, the First Hospital Affiliated to Army Medical University Chongqing 400038,China)
出处
《中华现代护理杂志》
2019年第6期677-681,共5页
Chinese Journal of Modern Nursing
关键词
干预性研究
健康管理平台
慢性肾脏病
自我管理
Intervention study
Health management platform
Chronic kidney disease
Selfmanagement
