Application of follow-up management based on integrated theory of health behavior change in outpatients undergoing hemodialysis
LI Xiangyun
MA Qitao
KANG Hua
FENG Li
SUN Chunling
LI Xiangping
CHEN Xiaoli
LI Hongyi
Abstract：Objective:To explore the application effect of follow-up management based on the integrated theory of health behavior change in outpatients undergoing hemodialysis.Methods:By using the convenience sampling method,a total of 66 outpatients undergoing hemodialysis in a tertiary grade A hospital in Shanxi province from April to August 2024 were selected as the research subjects,and randomly divided into control group and intervention group,with 33 cases in each.The patients in control group received routine care,and the patients in intervention group implemented follow-up management intervention plan based on the integrated theory of health behavior change on the basis of routine care.The interdialytic weight gain rate,objective biochemical indicators(serum potassium,serum calcium,serum phosphorus,serum albumin,hemoglobin),health literacy level,self-management level and treatment compliance effect of the two groups before the intervention and at 3 months and 6 months after the intervention were compared.Results:The time effect,intergroup effect and interaction effect of interdialytic weight gain rate,objective biochemical indicators,health literacy level,self-management level and treatment compliance of the two groups were statistically significant(P<0.05).At 3 months and 6 months after the intervention,all indicators of the intervention group were better than those in control group(P<0.05).Conclusions:Follow-up management based on the integrated theory of health behavior change could enhance the health literacy level,self-management ability and treatment compliance of outpatients undergoing hemodialysis,and reduce interdialytic weight gain rate and blood potassium levels during dialysis,improve calcium and phosphorus metabolism and nutritional status.
Keywords：hemodialysischronic kidney diseaseintegrated theory of health behavior changefollow-upself-managementnursing
Publication Date：2025-08-25
Online Publishing Date：2025-08-28(First online date of this platform, not the publication date of the document)
Pages：9( 2777-2785 )