Li Liu, Chen Haiyan, Peng Can, Yang Li
Second Department of Breast and Nail Surgery, Hunan Provincial People's Hospital (The First-Affiliated Hospital of Hunan Normal University), Changsha, Hunan 410005, China.
Second Department of Endocrinology, Hunan Provincial People's Hospital (The First-Affiliated Hospital of Hunan Normal University), Changsha, Hunan 410005, China.
Evid Based Complement Alternat Med. 2022 Sep 21;2022:5131830. doi: 10.1155/2022/5131830. eCollection 2022.
To explore the value of continuous nursing (CN) based on WeChat in improving healthy quality of life and self-management behavior of patients with diabetic nephropathy (DN).
A total of 100 patients with DN who were treated in our hospital from November 2019 to January 2020 were selected. Thereinto, 54 patients who received CN based on WeChat were considered as the research group, and 46 patients who received the routine nursing intervention were considered as the control group. Peripheral blood samples were collected before nursing intervention (0), 1 month after intervention (1), and 2 months after intervention (2) to test blood glucose, blood lipid, and renal function. Exercise of self-care agency (ESCA) scale and general self-efficacy scale (GSES) was conducted to evaluate patients' self-management ability, and a short-form 36-item health survey (SF-36) was conducted to evaluate their quality of life. Finally, the treatment compliance and satisfaction of patients were investigated.
There was no marked difference in blood glucose, blood lipid, and renal function between groups at 0 ( > 0.05), but the research group was better than the control group at 1 and 2 ( < 0.05). After the nursing intervention, the scores of ESCA, GSES, and SF-36 in the research group were higher ( < 0.05). In addition, the treatment compliance rate and satisfaction of the research group were also higher.
CN based on WeChat can effectively improve the self-management behavior and quality of life of DN patients, which is extremely suitable for such chronic diseases with extremely long treatment cycles and can provide a more effective guarantee for their recovery.
探讨基于微信的延续性护理（CN）对改善糖尿病肾病（DN）患者健康生活质量及自我管理行为的价值。
选取2019年11月至2020年1月在我院接受治疗的100例DN患者。其中，54例接受基于微信的CN的患者为研究组，46例接受常规护理干预的患者为对照组。在护理干预前（0）、干预后1个月（1）和干预后2个月（2）采集外周血样本，检测血糖、血脂和肾功能。采用自我护理能力测定量表（ESCA）和一般自我效能感量表（GSES）评估患者的自我管理能力，采用简明健康状况调查问卷（SF-36）评估其生活质量。最后，调查患者的治疗依从性和满意度。
两组在0时血糖、血脂和肾功能无显著差异（>0.05），但研究组在1和2时优于对照组（<0.05）。护理干预后，研究组ESCA、GSES和SF-36评分更高（<0.05）。此外，研究组的治疗依从率和满意度也更高。
基于微信的CN能有效改善DN患者的自我管理行为和生活质量, 非常适合治疗周期极长的此类慢性病，能为其康复提供更有效的保障。
