Xiamen University, Fujian, China.
Shanxi Medical University, Taiyuan, China.
Clin Nurs Res. 2022 Jul;31(6):1148-1157. doi: 10.1177/10547738211033922. Epub 2021 Jul 20.
Self-management in hemodialysis patients is critical for optimal health outcomes. This study aimed to examine the effects of a theory-based micro-video health education program on the improvement of self-management, hemodialysis knowledge, and self-efficacy in hemodialysis patients. This quasi-experimental study employed a two group, pre- and post-test design. The sample was 80 hemodialysis patients from a dialysis center. The participants were assigned in a 1:1 ratio to receive routine care or a 3-month micro-video health education program. Between-group comparison showed that patients in the intervention group had significantly greater improvement in hemodialysis knowledge than those in the control group ( < .05). However, no significant group differences were observed in terms of self-management and self-efficacy. Within-group comparison showed that the overall self-management level of patients in both groups improved significantly, particularly in problem-solving skills and self-care dimensions. Therefore, micro-video health education can improve the self-management and hemodialysis knowledge in Chinese patients undergoing hemodialysis. Registered at ClinicalTrials.gov with study number (ChiCTR1800018172; http://www.chictr.org.cn/index.aspx).
自我管理在血液透析患者中至关重要,可改善健康结局。本研究旨在探讨基于理论的微视频健康教育方案对改善血液透析患者自我管理、血液透析知识和自我效能的影响。这是一项采用两群组、前后测设计的准实验研究。样本为透析中心的 80 名血液透析患者。参与者以 1:1 的比例分配,分别接受常规护理或为期 3 个月的微视频健康教育方案。组间比较显示,干预组在血液透析知识方面的改善显著大于对照组(<0.05)。然而,在自我管理和自我效能方面,两组间没有显著的组间差异。组内比较显示,两组患者的整体自我管理水平均显著提高,特别是在解决问题的技能和自我护理维度方面。因此,微视频健康教育可以提高中国血液透析患者的自我管理和血液透析知识。在 ClinicalTrials.gov 注册,注册号为(ChiCTR1800018172;http://www.chictr.org.cn/index.aspx)。