The application analysis of self-efficacy theory combined with WeChat health education in patients with maintenance hemodialysis / 中国实用护理杂志

ABSTRACT

Objective:To explore the application effect of self-efficacy theory combined with WeChat health education in patients with maintenance hemodialysis.Methods:Totally 112 patients with regular hemodialysis in Jiaxing Second Hospital from May 2018 to October 2019 were randomly divided into observation group and control group, 56 patients in each group. Conventional health education was used in the control group, while the health education based on the self-efficacy theory was used in the observation group. Awareness rate of health knowledge, incidence of adverse events in hemodialysis, treatment compliance and self-efficacy before and after intervention were recorded.Results:The Awareness rate of health knowledge in the observation group was 89.28% (50/56), which was higher than 69.65% (39/56) of the control group ( χ 2 value was 6.564, P<0.05). After intervention, the scores of dietary adherence, fluid adherence, medication adherence and dialysis scheme adherence in the observation group (29.53±4.74), (21.76±3.83), (26.25±4.64), (17.14±2.83) were higher than those of the control group (26.08±4.45), (18.12±3.66), (22.39±4.42), (14.76±2.69), the difference was statistically significant ( t values were 3.971-5.142, P<0.001); After intervention, the score of General Self-efficacy Scale (GSES) in the observation group (27.43±5.59) was higher than that of the control group (24.06±5.22), with statistical significance ( t value was 3.297, P<0.001). During the intervention, the incidence of adverse events in the observation group was 8.93% (5/56), which was lower than 23.21% (13/56) of the control group ( χ 2 value was 4.236, P<0.05). Conclusion:the self-efficacy theory combined with WeChat health education can promote the self-efficacy of patients with maintenance hemodialysis, improve the level of health knowledge and treatment compliance, and reduce the incidence of vascular access adverse events.