以自我管理理论为核心的云平台健康管理在慢性肾脏病患者延续护理中的应用

doi:10.3969/j.issn.1006-9143.2022.05.007

天津护理 ›› 2022, Vol. 30 ›› Issue (5): 532-538.DOI: 10.3969/j.issn.1006-9143.2022.05.007

以自我管理理论为核心的云平台健康管理在慢性肾脏病患者延续护理中的应用

宋欣芫张苗苗孙莹郝洁李娜陈强常文秀

（天津市第一中心医院，天津 300192）

出版日期:2022-10-28 发布日期:2022-10-25
基金资助:
天津市卫生健康委科技人才培育项目（KJ20220）

Application of health management based on cloud platform with self-management theory as the core in continuous nursing care of patients with chronic kidney disease

SONG Xinyuan, ZHANG Miaomiao, SUN Ying, HAO Jie, LI Na, CHEN Qiang, CHANG Wenxiu

（Tianjin First Central Hospital, Tianjin 300192）

Online:2022-10-28 Published:2022-10-25

摘要/Abstract

摘要： 目的：探讨以自我管理理论为核心的云平台健康管理在慢性肾脏病患者延续护理中的应用效果，拓展慢性肾脏病患者的延续护理模式。方法：选取2020年10月至2021年3月肾科门诊患者160例，随机分为对照组和观察组各80例。对照组给予传统健康管理，观察组给予自我管理论理为核心的云平台健康管理，干预3个月。采用慢性肾脏病自我管理能力、慢性病自我效能及服药依从性量表调查患者干预前后自我管理能力、自我效能、服药依从性变化，同时观察患者干预前后临床实验室指标、饮食依从性的变化。结果：干预前，两组患者自我管理能力、自我效能、饮食及服药依从性、实验室指标比较差异无统计学意义（P>0.05）。干预后，两组患者自我管理能力、自我效能、饮食及服药依从性均高于干预前，且观察组优于对照组，差异有统计学意义（P<0.05）；观察组患者收缩压、舒张压、血尿酸、血磷较干预前下降，血白蛋白较干预前提高，且观察组收缩压及白蛋白优于对照组，差异有统计学意义（P<0.05）。结论：依托互联网医院发展，以自我管理理论为核心的云平台健康管理可及时发现并解决患者居家治疗过程中的潜在问题，提高患者的自我效能、自我管理能力及治疗依从性，改善临床指标。

关键词: 云平台, 慢性肾脏病, 健康管理, 延续护理, 自我管理, 自我效能

Abstract: Objective: To explore the effect of health management based on cloud platform with self-management as the core in the continuous nursing of patients with chronic kidney disease(CKD), and so as to expand the model of continuous nursing for them. Methods: A total of 160 nephrology outpatients from October 2020 to March 2021 were randomly divided into control group(n=80) and observation group(n=80). The control group was given traditional health management, while the observation group was given health management based on cloud platform with self-management as the core for 3 months. The self-management ability, self-efficacy and medication compliance were investigated by scales before and after the intervention, and the changes of clinical laboratory indicators and dietary compliance were also observed. Results: Before the intervention, there was no significant difference in self-management ability, self-efficacy, diet and medication compliance, and laboratory parameters between the two groups(P>0.05). After intervention, self-management ability, self-efficacy, diet and medication compliance in the two groups were higher than those before intervention, and the observation group was superior to the control group, and the difference had statistical significance(P<0.05). Systolic blood pressure, diastolic blood pressure, blood uric acid and serum phosphorus in observation group decreased compared with those before intervention, while serum albumin increased, systolic blood pressure and albumin in observation group were superior to those in control group(P<0.05). Conclusion: Relying on the development of Internet hospitals, the health management based on cloud platform with self-management theory as the core can timely detect and solve the potential problems in the process of home treatment for patients, improve the nursing work efficiency, effectively improve the self-efficacy, self-management ability and treatment compliance of patients, and improve the clinical indicators.

Key words: Cloud platform, Chronic kidney disease, Health management, Continuous nursing, Self-management, Self-efficacy

宋欣芫张苗苗孙莹郝洁李娜陈强常文秀. 以自我管理理论为核心的云平台健康管理在慢性肾脏病患者延续护理中的应用[J]. 天津护理, 2022, 30(5): 532-538.

SONG Xinyuan, ZHANG Miaomiao, SUN Ying, HAO Jie, LI Na, CHEN Qiang, CHANG Wenxiu. Application of health management based on cloud platform with self-management theory as the core in continuous nursing care of patients with chronic kidney disease [J]. Tianjin Journal of Nursing, 2022, 30(5): 532-538.

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以自我管理理论为核心的云平台健康管理在慢性肾脏病患者延续护理中的应用

Application of health management based on cloud platform with self-management theory as the core in continuous nursing care of patients with chronic kidney disease

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