中西医结合护理 (Feb 2021)

The Effect of the health education model based on telephone follow-up on self-management skills in patients with stage 1-3 chronic kidney disease (基于电话随访的健康教育模式对慢性肾脏病1~3期患者自我管理能力的影响研究)

  • SHI Huiqin (史慧琴),
  • LIU Ying (刘颍)

DOI
https://doi.org/10.55111/j.issn2709-1961.202011256
Journal volume & issue
Vol. 7, no. 2
pp. 75 – 78

Abstract

Read online

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 CKD-SM 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 decreased in both two groups at 6 months after intervention, but without a significant difference between 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. (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。)

Keywords