Effects of a transtheoretical model-based WeChat health education programme on self-management among haemodialysis patients: A longitudinal experimental intervention study.

Abstract

AIM(#br)To examine the effects of a transtheoretical model-based WeChat health education programme on self-management in haemodialysis patients in China.(#br)DESIGN(#br)A longitudinal experimental intervention study.(#br)METHODS(#br)Patients (N = 120) who underwent haemodialysis from December 2015-November 2017 were recruited and randomly allocated to either group 1 (who received a 3-month WeChat health education immediately after randomization) or group 2 (who was combined with group 1 and received the same intervention at the 5th month after enrolment in the study). Self-management, knowledge and self-efficacy were assessed at baseline (T0 ), 3 months after enrolment in the study (T1 ), 21 months after enrolment in the study (T2 ).(#br)RESULTS(#br)There were significant group effects on self-efficacy; time effects on partnership, self-care, emotion management with total self-management; interaction effects on problem-solving and emotion management within total self-management according to the two-way repeated measures ANCOVA. Further between-group comparisons indicated that patients in group 1 had better self-management than those in group 2 at T1 . Within-group comparisons demonstrated that, compared with the baseline values, group 1 had significantly improved self-management at T1 ; however, group 2 had improved self-management at T2 .(#br)CONCLUSION(#br)The transtheoretical model-based WeChat health education programme had a potentially positive effect on improving the self-management of haemodialysis patients.(#br)IMPACT(#br)Self-management is often difficult yet crucial for haemodialysis patients. This study indicated that the transtheoretical model-based WeChat health education resulted in improved self-management in haemodialysis patients and can be implemented in continuing care during the interdialysis period to improve self-management in patients.(#br)TRIAL REGISTRATION(#br)ChiCTR1800018172.(#br)目的: 探讨基于跨理论模型的微信健康教育项目对中国血液透析患者自我管理的影响。 设计: 纵向实验干预研究。 方法: 从2015年12月- 2017年11月接受血液透析的患者(N = 120)被召集来,随机分配到第1组(在随机化后立即接受为期3个月的微信健康教育的人群)或第2组(与第1组结合并在研究登记后的第5个月接受了相同干预的人群)。自我管理、知识和自我效能感分别在基线(T0)、研究登记后3个月(T1)、研究登记后21个月(T2)进行评估。 结果: 群体效应对自我效能感有显著影响;时间对伙伴关系、自我照顾、情绪管理和全面自我管理有显著影响;根据双向重复测量ANCOVA,在完全自我管理中,相互作用对问题解决和情绪管理有显著影响。 结论: 基于跨理论模型的微信健康教育项目对改善血液透析患者的自我管理具有潜在性积极作用。 影响: 自我管理通常是困难的,但对血液透析患者至关重要。本研究表明,基于跨理论模型的微信健康教育改善了血液透析患者的自我管理,可以在透析期间的持续护理中实施,以改善患者的自我管理。 试验注册: ChiCTR1800018172。.