基于跨理论模型的微信健康教育方案对血液透析患者自我管理的影响：一项纵向实验干预研究。

Effects of a transtheoretical model-based WeChat health education programme on self-management among haemodialysis patients: A longitudinal experimental intervention study.

机构信息

Nursing Department, School of Medicine, Xiamen University, Xiamen, China.

Nursing College, Shanxi Medical University, Taiyuan, China.

出版信息

J Adv Nurs. 2019 Dec;75(12):3554-3565. doi: 10.1111/jan.14182. Epub 2019 Sep 13.

DOI:10.1111/jan.14182

PMID:31441525

Abstract

AIM

To examine the effects of a transtheoretical model-based WeChat health education programme on self-management in haemodialysis patients in China.

DESIGN

A longitudinal experimental intervention study.

METHODS

Patients (N = 120) who underwent haemodialysis from December 2015-November 2017 were recruited and randomly allocated to either group 1 (who received a 3-month WeChat health education immediately after randomization) or group 2 (who was combined with group 1 and received the same intervention at the 5th month after enrolment in the study). Self-management, knowledge and self-efficacy were assessed at baseline (T ), 3 months after enrolment in the study (T ), 21 months after enrolment in the study (T ).

RESULTS

There were significant group effects on self-efficacy; time effects on partnership, self-care, emotion management with total self-management; interaction effects on problem-solving and emotion management within total self-management according to the two-way repeated measures ANCOVA. Further between-group comparisons indicated that patients in group 1 had better self-management than those in group 2 at T . Within-group comparisons demonstrated that, compared with the baseline values, group 1 had significantly improved self-management at T ; however, group 2 had improved self-management at T .

CONCLUSION

The transtheoretical model-based WeChat health education programme had a potentially positive effect on improving the self-management of haemodialysis patients.

IMPACT

Self-management is often difficult yet crucial for haemodialysis patients. This study indicated that the transtheoretical model-based WeChat health education resulted in improved self-management in haemodialysis patients and can be implemented in continuing care during the interdialysis period to improve self-management in patients.

TRIAL REGISTRATION

ChiCTR1800018172.

摘要

目的

探讨基于跨理论模型的微信健康教育方案对中国血液透析患者自我管理的影响。

设计

纵向实验干预研究。

方法

招募 2015 年 12 月至 2017 年 11 月期间接受血液透析的患者（N=120），并将其随机分配至第 1 组（随机分组后立即接受 3 个月的微信健康教育）或第 2 组（第 1 组与第 2 组联合，并在研究入组后第 5 个月接受相同干预）。在基线（T ）、研究入组后 3 个月（T ）、研究入组后 21 个月（T ）评估自我管理、知识和自我效能。

结果

根据双向重复测量方差分析，在自我效能方面存在显著的组间效应；在合作、自我护理、情绪管理与总自我管理方面存在时间效应；在解决问题和情绪管理方面存在交互效应。进一步的组间比较表明，T 时第 1 组患者的自我管理优于第 2 组；组内比较表明，与基线值相比，第 1 组在 T 时自我管理显著改善，而第 2 组在 T 时自我管理改善。