基于APP的维持性血液透析患者透析间期体质量管理

目的评价基于APP的体质量管理对维持性血液透析(MHD)患者透析间期体质量和液体摄入依从性的影响。方法将MHD患者随机分为干预组31例和对照组32例。两组均按血液透析常规护理,同时以血液透析患者透析间期体质量管理指导手册进行体质量管理,干预组增加基于APP的体质量管理,于干预前及干预第1、第2、第3个月评价患者体质量增长值(IDWG)、体质量增长率(PIDWG)和液体摄入依从性。结果两组干预后IDWG、PIDWG的时间效应和交互效应差异有统计学意义(均P0.01),PIDWG的组间效应差异有统计学意义(P0.05);随着干预时间延长,干预组液体摄入依从性显著高于对照组(P0.01)。结论基于APP的体质量管理能够有效降低MHD患者的IDWG与PIDWG,提高患者液体摄入依从性。

Effect of APP-based weight management intervention on interdialysis weight gain of maintenance hemodialysis patients

Objective To evaluate the effect of APP-based weight management intervention on interdialysis weight gain(IDWG)and fluid intake adherence of maintenance hemodialysis (MHD)patients.Methods A randomized controlled trial was conducted.The MHD patients were randomly divided into two groups,31 in the intervention group and 32 in the control group.All the patients received routine nursing care,and weight control guide through an interdialysis weight control guidebook.In addition,patients in the intervention group received APP-based weight management.The patients' IDWG,percentage of IDWG(PIDWG) and fluid intake adherence were evaluated before the intervention and after 1 month,2 months and 3 months.Results There were significant time effect and group by time effect between the two groups regarding IDWG and PIDWG (P＜0.01 for both);there was also significant group effect between the 2 groups regarding PIDWG (P＜0.05 for all).With time passing by,the inte-rvention group had better fluid intake adherence than the control group (P＜0.01).Conclusion APP-based weight management could significantly decrease IDWG and PIDWG,and enhance fluid intake adherence of MHD patients.