Tianjin Journal of Nursing ›› 2023, Vol. 31 ›› Issue (2): 172-176.DOI: 10.3969/j.issn.1006-9143.2023.02.010

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Effect of "Internet plus" continuous nursing on compliance of fluid intake in hemodialysis patients based on theory of planned behavior

DENG Zhuxi 1 ,GUO Xiaojuan1 ,SHI Yang2 ,YANG Qun1   

  1. (1. Jiangsu Subei People’s Hospital, Yangzhou Jiangsu 225001; 2.School of Nursing and School of Public Health, Yangzhou University)
  • Online:2023-04-28 Published:2023-04-28

基于计划行为理论的“互联网+”延续护理对血液透析患者液体摄入依从性的影响

邓竹溪 1 郭晓娟 1 施杨 2 杨群 1   

  1. (1.江苏省苏北人民医院,江苏 扬州 225001;2.扬州大学护理学院·公共卫生学院)

Abstract:

Objective: Based on the theory of planned behavior, the "Internet plus " continuous nursing program was formulated, and its impact on the compliance of hemodialysis patients with fluid intake was analyzed. Methods: A total of 62 patients who underwent regular hemodialysis in the blood purification center from July to December 2021 were included, and were randomly divided into the control group and the intervention group with 31 cases in each group. The control group implemented the routine continuous nursing program to improve the compliance of liquid intake,and the intervention group implemented the "Internet plus" continuous nursing program to improve the compliance of liquid intake based on the theory of planned behavior. The scores of the liquid intake compliance, the ratio of body mass growth during dialysis to dry body mass, and the incidence of hypotension during dialysis were compared between the two groups after intervention. Results:After intervention, there were significant differences between the intervention group and the control group in the scores of fluid intake compliance, the ratio of body mass growth to body mass during dialysis, and the incidence of hypotension(P<0.05).Conclusion: The "Internet plus" continuous nursing program based on the planned behavior theory can improve the compliance of fluid intake in hemodialysis patients,and reduce the occurrence of hypotension during dialysis.

Key words: Hemodialysis, Planning behavior theory, Internet, Fluid intake, Compliance

摘要:

目的:基于计划行为理论制定“互联网+”延续护理方案,分析其对血液透析患者液体摄入依从性的影响。 方法:选取 2021 年 7月至 12 月在血液净化中心行规律血液透析的 62 例患者为研究对象,随机分为对照组和干预组各 31 例。 对照组实施常规的延续护理 方案,干预组实施基于计划行为理论的 “互联网+”延续护理方案,比较两组患者干预后液体摄入依从性量表得分、透析间期体质量增 长与干体质量的比值、透析中低血压的发生率。 结果:干预后,干预组患者液体摄入依从性量表得分、透析间期体质量增长与干体质 量比值、低血压发生率较对照组差异均有统计学意义(P<0.05)。 结论:基于计划行为理论的“互联网+”延续护理方案可以提高血液透 析患者液体摄入依从性,减少患者透析中低血压的发生。

关键词: 血液透析, 计划行为理论, 互联网, 液体摄入, 依从性