Pack Songyi, Lee Jia
Graduate School, Kyung Hee University, Seoul, Korea.
College of Nursing Science, Kyung Hee University, Seoul, Korea.
J Clin Nurs. 2021 Mar;30(5-6):840-848. doi: 10.1111/jocn.15627. Epub 2021 Jan 28.
To develop a smartphone application-based dietary self-management program for haemodialysis patients and to examine its effects on biochemical indicators, self-efficacy and quality of life.
Lack of dietary management in haemodialysis patients can lead to serious complications such as oedema, hyponatremia, hyperkalaemia, hypertension, uraemia and eventually death; however, studies using smartphone applications for dietary self-management in haemodialysis patients are rare.
A prospective, single-blind, randomised, controlled design with repeated measures was followed with 75 haemodialysis patients at a haemodialysis centre. Data were collected from 10 January 2017-6 May 2018. The study applied the Consolidated Standards of Reporting Trials statement.
The 8-week smartphone application-based dietary self-management program was developed through collaboration with a haemodialysis equipment company. The experimental group took this program while the control group took an 8-week general program. Study variables were serum phosphorus, potassium and albumin, self-efficacy and quality of life. They were measured at pretest, and 8 weeks and 12 weeks after the programs, and analysed using two-way repeated measures analysis of variance.
The smartphone application-based program significantly improved serum phosphorus, potassium, self-efficacy and quality of life over time compared with the general program. There was no significant difference in albumin level changes between the groups.
The smartphone application-based dietary self-management program is an opportune and effective nursing intervention to lower serum phosphorus and potassium levels in haemodialysis patients over time. Trial registration was performed on www.cris.nih.go.kr (KCT0005366).
Haemodialysis patients can easily use the smartphone application to manage their diet anytime and anywhere. They can get real-time feedback and solutions to prevent haemodialysis complications. Nurses can provide tailored high-quality care based on an individual's lifelog data from the smartphone application.
为血液透析患者开发一款基于智能手机应用程序的饮食自我管理方案，并研究其对生化指标、自我效能感和生活质量的影响。
血液透析患者缺乏饮食管理会导致严重并发症，如水肿、低钠血症、高钾血症、高血压、尿毒症，最终导致死亡；然而，利用智能手机应用程序对血液透析患者进行饮食自我管理的研究很少。
对一家血液透析中心的75名血液透析患者采用前瞻性、单盲、随机、对照设计，并进行重复测量。数据收集时间为2017年1月10日至2018年5月6日。该研究应用了《报告试验的统一标准》声明。
通过与一家血液透析设备公司合作，开发了为期8周的基于智能手机应用程序的饮食自我管理方案。实验组采用该方案，对照组采用为期8周的常规方案。研究变量包括血清磷、钾和白蛋白、自我效能感和生活质量。在干预前、干预8周和12周时进行测量，并采用双向重复测量方差分析进行分析。
与常规方案相比，基于智能手机应用程序的方案随着时间的推移显著改善了血清磷、钾、自我效能感和生活质量。两组间白蛋白水平变化无显著差异。
基于智能手机应用程序的饮食自我管理方案是一种适时有效的护理干预措施，可随着时间的推移降低血液透析患者的血清磷和钾水平。试验注册于www.cris.nih.go.kr（KCT0005366）。
血液透析患者可以轻松地使用智能手机应用程序随时随地管理饮食。他们可以获得实时反馈和解决方案，以预防血液透析并发症。护士可以根据智能手机应用程序中个人的生活记录数据提供个性化的高质量护理。
