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目的:评价电话加短信随访对农村腹膜透析患者饮食依从性影响的效果。方法:选取2014年9月至2015年6月某三级甲等医院肾内科农村腹膜透析患者103例为研究对象,干预组51例,对照组52例。对照组采用肾内科常规健康教育。干预组在此基础上,成立随访团队;建立健康档案;制定个性化干预手册;采用电话加短信对患者进行6个月的随访和指导。比较出院时、出院后1个月、3个月、6个月两组患者饮食依从性及透析相关生化指标。结果:干预组饮食依从态度、行为总分及各维度得分均好于对照组;重复测量方差分析结果存在交互效应,均随时间的变化而变化。结论:电话加短信随访能提高农村腹膜透析患者饮食依从性,改善营养状况,缓解钙磷代谢紊乱症状。
OBJECTIVE: To evaluate the effect of phone and short message follow-up on diet compliance in rural peritoneal dialysis patients. Methods: From September 2014 to June 2015, 103 cases of rural peritoneal dialysis patients in the Department of Nephrology of a Grade-3 Hospitals were selected as subjects, 51 cases in the intervention group and 52 cases in the control group. The control group received routine health education in renal medicine. On this basis, the intervention group set up a follow-up team; established a health file; developed a personalized intervention manual; and followed up and guided the patients for 6 months by phone and short message. The discharge comparisons, diet compliance and dialysis-related biochemical indicators were compared between the two groups after discharge, 1 month, 3 months and 6 months after discharge. Results: The attitude of diet compliance, total score of behavior and each dimension of intervention group were better than that of control group. There was interaction effect between repeated measures ANOVA, which all changed with time. Conclusion: Telephone and short message follow-up can improve diet compliance in rural patients with peritoneal dialysis, improve nutritional status and relieve symptoms of disorders of calcium and phosphorus metabolism.