Study On Intervention Effect Of WeChat Peer Education On Fluid Intake Of Maintenance Hemodialysis Patients

ObjectiveThrough carrying We Chat peer education on the maintenance hemodialysis patients in this study,the effect of We Chat peer education on the fluid intake of maintenance hemodialysis patients during the dialysis interval was investigated from different angles and dimensions,and the intervention effect of We Chat peer education on the fluid intake and standard-reaching rate,fluid intake self-efficacy and self-management behavior ability of maintenance hemodialysis patients during the dialysis interval was evaluated,so as to verify the effectiveness and feasibility of We Chat peer education on the maintenance hemodialysis patients.MethodsThis study is a kind of quasi-experimental study.From April 2020 to September 2020,140 patients who underwent maintenance hemodialysis in the blood purification center of a third-class hospital in Qingdao city were selected as the research objects.According to the inclusion criteria and exclusion criteria,140 patients were randomly divided into intervention group and control group by the random number table method,including 70cases in each group.The control group was given bedside health education,and the intervention group was given bedside health education and We Chat peer education.The main outcome measures included general data of patients,weight gain measurement of dialysis interval,self-efficacy of liquid intake and self-management behavior of hemodialysis patients.The data were collected before the formal study and after the intervention for 6months to analyze and compare respectively weight gain value during the dialysis interval,standard-reaching rate of weight gain during the dialysis interval,scores of self-efficacy scale of liquid intake and disease self-management behavior scale.All data collected should be strictly checked by two people,then Excel 2016 was used to input data,and then the statistical software SPSS 20.0 was used for data processing and analyzing.The general data of two groups were analyzed and compared byX²test or Fisher exact probability method.The counting data were analyzed and described by frequency and percentage,and the measurement data in accordance with normal distribution were described by mean±standard deviation(^?±s).The measurement data between the two groups were compared by independent sample t test.The measurement data before and after the intervention were analyzed and compared by paired t test.The test level wasα=0.05,and the difference was statistically significant when P<0.05.ResultsBefore the study,70 MHD patients in the intervention group and 70 MHD patients in the control group were selected.During the study,due to kidney transplantation,serious or critical illness,sudden death and other reasons,2 patients in the intervention group and 4patients in the control group were lost to follow-up.The sample loss rate was 4.3%.A total of 134 MHD patients participated in the whole intervention process.1.Before the intervention,there was no significant difference in gender,age,dialysis time,residual urine volume,basic diseases,dry weight,dialysis complications and other general data between the two groups（P>0.05）.2.There was no significant difference between the two groups in the value of weight gain and standard-reaching rate of weight gain during the dialysis interval before this intervention（P>0.05）,and the two groups were comparable.After the intervention for 6months,the weight gain and standard-reaching rate of two groups were improved compared with before.The average weight gain during the dialysis interval was compared between the two groups.The intervention group was significantly lower than control group（P<0.05）,and lower than before the intervention（P<0.05）,the difference was statistically significant.After the intervention,the standard-reaching rate of weight gain between the two groups during the dialysis interval was compared,the intervention group was significantly higher than the control group（P<0.05）,and higher than before the intervention（P<0.05）,the difference was statistically significant.3.There was no significant difference in the scores of self-efficacy of liquid intake between the two groups before the intervention（P>0.05）.After the intervention for 6 months,the scores of multiple items of liquid intake self-efficacy scale in the intervention group were significantly improved（P<0.05）,and higher than those in the control group（P<0.05）,and the difference was statistically significant.The item"when I feel stressed,I can limit my fluid intake"was the most improved item,which was 1.00 points higher than that before the intervention.4.There was no significant difference in the scores of self-management behavior scale between the two groups before the intervention（P>0.05）.After the intervention for 6 months,the scores of multiple items of self-management behavior scale in the intervention group were significantly improved（P<0.05）,and higher than those in the control group（P<0.05）,and the difference was statistically significant.The effect of"executive self-care"was the most significant,which was 0.87 points higher than that before the intervention.Conclusion1.It can effectively control the fluid intake of hemodialysis patients during the dialysis interval by carrying We Chat peer education on the maintenance hemodialysis patients.2.It can significantly improve the standard-reaching rate of weight gain of hemodialysis patients during the dialysis interval by carrying We Chat peer education on the maintenance hemodialysis patients.3.It can significantly improve the self-efficacy of fluid intake and self-management behavior abillity of disease by carrying We Chat peer education on the maintenance hemodialysis patients.4.It is very effective and feasible to carry We Chat peer education on the maintenance hemodialysis patients.