[1]王盛菲,朱 珠,栾 伟.基于微信公众平台对CKD早期患者 饮食健康教育中的应用研究[J].医学信息,2019,32(14):183-185,188.[doi:10.3969/j.issn.1006-1959.2019.14.062]
　WANG Sheng-fei,ZHU Zhu,LUAN Wei.Application Research on Dietary Health Education of CKD Early Patients Based on WeChat Public Platform[J].Journal of Medical Information,2019,32(14):183-185,188.[doi:10.3969/j.issn.1006-1959.2019.14.062]
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基于微信公众平台对CKD早期患者 饮食健康教育中的应用研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年14期
页码:
183-185,188
栏目:
护理研究
出版日期:
2019-07-15

文章信息/Info

Title:
Application Research on Dietary Health Education of CKD Early Patients Based on WeChat Public Platform
文章编号:
1006-1959（2019）14-0183-04
作者:
王盛菲1; 朱 珠2; 栾 伟3
上海交通大学医学院附属仁济医院肾血科1，内科ICU 2，护理部3，上海 200000
Author(s):
WANG Sheng-fei1; ZHU Zhu2; LUAN Wei3
Department of Nephrology1,Department of Internal Medicine of ICU2,Department of Nursing3,Renji Hospital, Shanghai Jiaotong University School of Medicine,Shanghai 200000,China
关键词:
微信公众平台; CKD早期患者; 健康教育
Keywords:
Key words：WeChat public platform; CKD early patients; Health education
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2019.14.062
文献标志码:
A
摘要:
目的 探讨微信公众平台在慢性肾脏病（CKD）早期患者饮食健康教育中的应用效果。方法 选择 2017年1月~9月在我科新入院的CKD早期患者108例纳入本次研究，随机分为对照组和实验组，各54例。对照组患者采用传统健康宣教的模式，实验组采用微信公众平台，推送科学健康饮食宣教软文、图画、视频等，供患者浏览学习的健康宣教模式，在出院后第1个月、第3个月、第6个月比较两组饮食依从性及6项营养指标水平。结果 出院后第1个月、第3个月、第6个月实验组钠摄入量、DPI均少于对照组，差异有统计学意义（P＜0.05）；出院后第1个月、第3个月、第6个月，实验组BMI及甘油三脂水平比较，差异无统计学意义（P＞0.05）；出院后第3个月、第6个月，实验组收缩压、血尿酸水平达标率高于对照组，差异有统计学意义（P＜0.05）；出院后第6个月，实验组舒张压、尿蛋白达标率高于对照组，差异有统计学意义（P＜0.05）。结论 对CKD早期患者来说，微信公众平台的推广应用，帮助患者了解健康饮食的内容，有效提高患者的饮食依从性，改善生理指标，减轻了临床医护人员的工作负担。
Abstract:
Abstract：Objective To explore the application effect of WeChat public platform in diet health education for patients with chronic kidney disease (CKD).Methods 108 patients with early CKD who were admitted to our department from January to September 2017 were enrolled in this study. They were randomly divided into control group and experimental group, 54 cases each. The patients in the control group adopted the traditional health education mode. The experimental group used the WeChat public platform to push the scientific healthy diet education soft texts, pictures, videos, etc., for patients to browse the learning health education mode, the first month and the third month after discharge. In the sixth month, the two groups were compared for dietary compliance and 6 nutritional indicators.Results The sodium intake and DPI of the experimental group in the first month, the third month and the sixth month after discharge were lower than the control group, the difference was statistically significant (P<0.05);There was no significant difference in BMI and triglyceride levels between the first month, the third month and the sixth month after discharge from the hospital (P>0.05). The third and sixth months after discharge, The systolic blood pressure and blood uric acid levels in the experimental group were higher than those in the control group,the difference was statistically significant (P<0.05). In the 6th month after discharge, the experimental group had higher diastolic blood pressure and urine protein compliance rate than the control group,the difference was statistically significant (P<0.05).Conclusion For early patients with CKD, the promotion and application of WeChat public platform helps patients understand the content of healthy diet, effectively improve patients' dietary compliance, improve physiological indicators, and reduce the workload of clinical staff.

参考文献/References:

[1]王红,邓孝陵,董俊武.分期分段开展慢性肾脏病个体化健康教育的效果评价[J].钟华现代护理杂志,2014,20(25):3231-3232. [2]陈波.饮食依从性与护理干预对慢性肾功能衰竭患者的影响分析[J].中国继续医学教育,2018,10(5):174-176. [3]Chobanian AV,Hill M.National heart,lung and blood institute workshop on sodium and blood pressure：a critical review of current scientific evidence[J].Hypertension,2000,35(4):858-863. [4]马飞炜,何晓鸣,吕伯东.医院微信公众平台的应用实践研究[J].中医药管理杂志,2014,22(2):254-255,270. [5]李阳.微信公众平台的角色定位与功能调适[J].社会科学辑刊,2014(2):57-61. [6]徐杰.微信公众平台在医院健康教育中的应用[J].中国健康教育,2015,1(31):86-87. [7]石彩华.基于微信公众平台的高职翻转课堂教学模式应用研究[J].软件导刊(教育技术),2015(11):72-73. [8]郭玮,潘柏申.从 K／DOQI 2002到 KDIGO 2012慢性肾脏疾病诊疗指南中实验室检测项目相关应用建议的解读[J].检验医学,2015(7):663-667. [9]徐睿,崔文英,尹道馨,等.持续质量改进在提高慢性肾脏病患者低蛋白饮食依从性中的应用[J].中华护理杂志,2013,48(9):787-788. [10]王晓菁,陈海平.慢性肾脏病定义及分期系统修订的进展-2012-KDIGO慢性肾脏病临床管理实践指南解读[J].中华老年多器官疾病杂志,2014,12(5):396-400. [11]α酮酸制剂在肾内科应用专家协作组.慢性肾脏病蛋白营养治疗共识[J].中华肾脏杂志,2005,20(7):421-424. [12]鞠文浩,刘金波,赵红薇,等.高盐饮食对健康人和高血压患者血浆血管内皮生长因子C水平的影响及其与血压的相关性研究[J].中国循环杂志,2018,33(4):346-350.

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更新日期/Last Update: 2019-07-15