Influence Of Follow-up With Wechat On The Nutritional Status Of Patients With Maintenance Hemodialysis

Objective : Discuss the wechat effect of follow-up intervention on maintance nutritional status of hemodialysis patients.In order to seek the new intervention methods and ways to improve maintenance hemodialysis patients adverse conditions.Providing the basis for the majority of the medical personnel implementing comprehensive and continual nursing intervention to the patients discharged from hospital.And then earnestly improve the patients with maintenance hemodialysis in survival and quality of lifeMethods:This subject adopts the method of own control,and establish the WeChat group of the research object,and then do the follow-up intervention.Before and after the follow-up intervention 3 months and 6 months,we use relevant knowledge questionnaire and self management ability evaluation scale,subjective comprehensive nutrition assessment scale(SGA)to evaluate the cognitive level and nutritional status of patients.At the same time,detection and evaluation for the patient body measurements [ including body mass index(BMI),thickness of triceps skinfold(TSF)and the upper arm muscle circumference(AMC)] and blood biochemical index [ including albumin(ALB)hemoglobin(Hb)creatinine(Scr)].All the data collected were sort out for statistical analysis using the software of spss21.0.Results:1 General information of the research objectThere are 32 male and 26 female in the 58 research objects.Most of them are at the age of 40 to 50,accounted for 31%.Secondly,it's 50 to 60 and 60 to 70,accounted for 29.3% and 25.9%.The primary disease in chronic glomerulonephritis patients is most,it's 33 patients,up to 56.9%.And then it's hypertensive renal disease 11 patients,sharing 19.0%.there are also 12 patients of diabetic nephropathy,sharing 20.7%.2 Comparison of the evaluation results of patients malnutrition before and after Wechat follow-up education.After Wechat follow-up,we assess the nutritional status of patients in 6months and 3months.The nutritional status of patients improved significantly than before the follow-up.3 Comparison of the patients related knowledge before and after the Wechat follow-up education.At different time points of knowledge questionnaire(full 16 score),the patients after 6months follow-up eductation get the highest score(11.48±1.47).Secondly,it's the patients after 3months follow-upe edcation,the score is(7.91 ± 1.44).And the lowest score is(6.07 ± 1.63),which belong to the patients before the follow-up eduction.There was statistically significance between any two score difference at different time points.(P < 0.05)4 Comparison of the patients self-management ability before and after the Wechat follow-up eduction.The score of the patients self-management ability in four dimensions(Diet and fluid intake,physical activity,psychological and social behavior,behavior therapy)after 6months follow-up educaction can get highes,and then it's the patients after 3months.The lowest score is the patients before follow-up education.And there was statistically significance between any two score difference at different time points.(P < 0.05)5 The comparison of patients BMI,AMC,TSF before and after the Wechat follow-up education.There was statistically significance in the difference of the BMI,AMC,TSF of patients measured value between 6months,3months after and before the follow-up eductaion.(P < 0.05)6 The comparison of the patients blood indexes before and after the Wechat follow-up education.The patients' Alb,Hb level is the highest after 6months,and then it's 3months.The lowest is before the follow-up eduction.And any two different time point score difference has the statistical significance.(P < 0.05)The patients creatinine diffrence between after 6months,3months and before follow-up education has the statistical significance.(P < 0.05)Conclusion:1 Through WeChat follow-up of patients with health education,we can improve the patients' cognitive level of disease,excited with the confidence to overcome the disease,improve the patient's mental state.2 We can improve the self management ability and life quality of the patients by Wechat follow-up education.3 WeChat follow-up education can improve the patient's biochemical index and physical measurement index,improve the nutritional status of patients.