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互联网+“情景模式”视频对腹膜透析患者容量管理的影响
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Abstract:
目的：探讨互联网+“情景模式”视频教育对居家维持性腹膜透析患者容量管理的影响。方法：抽取2022年1月~2023年12月在福建中医药大学附属第二人民医院肾病科新置管的维持性腹膜透析患者60名，随机分为观察组和对照组各30例。对照组给予常规传统健康教育方式，观察组在对照组的基础上采用互联网+“情景模式”视频健康教育模式，2组均干预3个月。对比观察2组患者腹膜透析患者容量管理行为和容量相关知识以及水肿程度的变化。结果：观察组患者容量管理行为和患者容量相关知识水平总分明显高于对照组(P值 < 0.05)；观察组患者收缩压、超滤量明显高于对照组(P值 < 0.05)，尿量、舒张压、体重与对照组相比差异无统计学意义(P > 0.05)，观察组患者2~3级水肿的发生率显著低于对照组(P < 0.05)；结论：互联网+“情景模式”视频教育模式可以提高维持性腹膜透析患者容量管理的意识，改善容量负荷状况。
Objective: To explore the effect of Internet+ “Scenario Mode” video education on volume management of patients with home-based maintenance peritoneal dialysis. Methods: A total of 60 patients with maintenance peritoneal dialysis who were newly catheterized in the Nephrology Department of the Second Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine from January 2022 to December 2023 were randomly divided into an observation group and a control group, with 30 cases in each group. The control group was given conventional traditional health education, and the observation group adopted the Internet+ “Scenario Mode” video health education model on the basis of the control group. Both groups were intervened for 3 months. The changes in volume management behavior, volume-related knowledge, and degree of edema of peritoneal dialysis patients in the two groups were compared and observed. Results: The total scores of volume management behavior and volume-related knowledge level of the observation group were significantly higher than those of the control group (P value < 0.05); the systolic blood pressure and ultrafiltration volume of the observation group were significantly higher than those of the control group (P value < 0.05), and there was no significant difference in urine volume, diastolic blood pressure, and body weight between the two groups (P > 0.05). The incidence of grade 2~3 edema in the observation group was significantly lower than that in the control group (P < 0.05); Conclusion: The Internet+ “scenario mode” video education model can improve the awareness of volume management in patients with maintenance peritoneal dialysis and improve the volume load.
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