基于APP的体质量管理对维持性血液透析患者透析间期体质量的影响

目的研究基于APP的体质量管理对维持性血液透析(maintenance hemodialysis, MHD)患者透析间期体质量和液体摄入依从性的影响。方法选取2016年2月-2018年2月于我院接受MHD治疗的患者220例为研究对象,按照随机数字表法将其分成研究组和对照组,各110例。对照组予以常规护理干预,研究组在对照组基础上予以基于APP的体质量管理。比较2组干预前后体质量增长率、液体摄入依从性以及生活质量情况。结果研究组体质量增长率低于对照组(F=4.284,P=0.001),液体摄入依从性高于对照组(F=3.256,P=0.002)。干预3个月后研究组SF-36各项评分明显高于对照组。结论基于APP的体质量管理有效控制了MHD患者透析间期体质量的增长,提高了液体摄入依从性,有利于改善患者的心理状况以及生活质量,值得临床推广应用。

The effect of APP-based weight management on the weight of patients with the maintenance hemodialysis during the interdialysis

Objective To study the effect of applying APP-based weight management on the the weight and liquid intake control in patients with maintenance hemodialysis (MHD) during the interdialysis. Methods Totally 220 patients who received MHD treatment in our hospital between February 2016 and February 2018 were selected and randomly divided into a study group and a control group according to a random number table, each of 110. Both groups were given the routine nursing, while the study group was additionally provided with weight management based on APP. The weight growth rate, liquid intake compliance and life quality were compared between the two groups before and after the intervention. Results After the intervention, the weight growth rate of the study group was lower than that of the control group (F=4.284,P=0.001), while the compliance of liquid intake of the former was higher than the latter (F=3.256,P=0.002). Moreover,all the SF-36 sub-scores of the study group were significantly higher than those of the control group. Conclusion APP-based weight management can effectively control the increase of the body weight and improve the compliance of fluid intake of MHD patients during the dialysis. It is also helpful to improve their psychological condition and life quality. Therefore, it is worthy of clinical promotion and application.