基于在线社区的血液透析患者饮食自我保健促进计划的发展和有效性：一项随机对照试验。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research Pub Date : 2025-05-01 DOI:10.1016/j.anr.2025.01.007

Hana Kim , Mi-Kyoung Cho

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引用次数: 0

摘要

目的：本研究旨在基于Hurley自我效能模型，开发并评估血液透析患者饮食自我保健促进方案，利用在线社区提高血液透析患者的饮食自我保健行为。方法：对血液透析患者的需求进行调查，在专家评价的基础上制定基于社区的在线饮食自我保健促进计划。将44例血液透析患者随机分为实验组（n=22）和对照组（n=22）。该程序应用于实验组四周。在干预前后及干预后4周，对两组患者的饮食自我效能感、饮食自我护理行为、透析间期体重增加、血清磷、血清钾进行评估。结果：饮食自我效能、透析间期体重增加、血清磷和血清钾在时间和组间均有显著差异。时间和组间的交互作用也很显著。虽然饮食自我保健行为在时间上没有显著差异，但发现了显著的组间差异和时间与组间的相互作用。结论：与常规治疗相比，在线社区促进血透析患者饮食自我效能感和饮食自我护理行为更有效。提示饮食自我保健促进方案具有临床适用性。试验注册：本研究已在临床研究信息服务系统中注册（编号：KCT0007920）。

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Development and Effectiveness of Dietary Self-care Promotion Program Using Online Community for Hemodialysis Patients: A Pilot Randomized Controlled Trial

Purpose

This study aimed to develop and evaluate a dietary self-care promotion program for hemodialysis patients based on Hurley's self-efficacy model, utilizing an online community to enhance the dietary self-care behavior of patients undergoing hemodialysis.

Methods

The needs of hemodialysis patients were identified, and an online community-based dietary self-care promotion program was developed with expert evaluations. Forty-four hemodialysis patients were randomly assigned to an experimental group (n = 22) and a control group (n = 22). The program was applied to the experimental group for four weeks. Before and after the intervention, as well as four weeks after the intervention, dietary self-efficacy, dietary self-care behavior, interdialytic weight gain, serum phosphorus, and serum potassium were assessed in both groups.

Results

Significant differences over time and between groups were observed in dietary self-efficacy, interdialytic weight gain, serum phosphorus, and serum potassium. The interaction between time and group was also significant. While no significant differences were found over time in dietary self-care behavior, significant group differences, and interaction effects between time and group were identified.

Conclusions

The results indicate that the dietary self-care promotion program using an online community for hemodialysis patients is more effective in enhancing dietary self-efficacy and dietary self-care behavior compared to conventional treatment. This suggests the clinical applicability of the proposed dietary self-care promotion program.

Trial registration

This study was registered in the Clinical Research Information Service system (No: KCT0007920).

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.