慢性肾脏病患者飞信随访依从性的影响因素研究

目的随访是慢性肾脏病(CKD)治疗中不可缺少的工作,本研究通过分析CKD患者飞信随访依从性的影响因素,探讨这类基于网络平台的随访方式实施的可能性以及需要改进的措施。方法纳入471例慢病门诊的CKD患者,根据患者对飞信邀请短信回复的情况,将同意加入的患者视为依从性好,归入飞信组;不同意加入或不回复的患者视为依从性差,归入非飞信组,分析影响CKD患者飞信随访依从性的可能因素。结果 471例患者中共有236例(50.1%)回复了短信并成功加入飞信平台。不同常住地、文化程度、费用类别患者飞信使用率间差异均有统计学意义(P<0.01),与随访护士接触3次以上的患者飞信使用率也明显高于非接触3次以上的患者,差异有统计学意义(P<0.01),但不同CKD分期患者、不同性别患者飞信使用率间差异无统计学意义(P>0.05)。飞信组的平均年龄明显低于非飞信组(P<0.01),住院次数明显高于非飞信组(P<0.01)。结论 50.1%的CKD患者愿意加入飞信,提示飞信随访具有一定的可行性,但还存在一些阻碍因素,主要包括文化程度、年龄、对医护人员的熟悉信赖度以及地域问题,需要通过一些措施来增加CKD患者对飞信随访的依从性,以便更好地推广这类新的随访方式。

Compliance of Fetion-Based Follow-up in Patients with Chronic Kidney Disease

Objective To analyze the factors influenced the compliance of Fetion(an instant message software developed by China Mobile)-based follow-up in patients with chronic kidney disease(CKD).Methods Totally 471 CKD outpatients were enrolled in this study and divided into Fetion group(agreed to received Fetion-based follow-up) and non-Fetion group(refused to be followed up by Fetion).The information of these two groups was compared to analyse the possible factors influencing patients′ compliance.Results Of these 471 patients,236(50.1%) agreed to be followed up by Fetion.There were significant differences in Fetion use rate among patients with different permanent residences,education background,and healthcare costs and coverage(P<0.01).Patients who had communicated with outpatient nurses face-to-face for more than three times had a significantly higher percentage in joining the Fetion-based follow-up(P<0.01).However,the CKD stages and sex showed no significant difference between these two groups.The averaged age of the CKD patients in the Fetion group was significantly younger(P<0.01).Patients in the Fetion group also had significantly more hospitalization times than those in non-Fetion group.Conclusion About half of CKD patients may be willing to join the Fetion-based follow-up,indicating that Fetion-based follow-up is feasible for these patients.However,factors such as educational level,age,trust on the medical staff,and residency can influence its application.