Application of mobile health intervention based on COX's Interaction Model of Client Health Behaviors in patients taking hemodialysis

doi:10.3760/cma.j.issn.1007-1245.2023.16.026

Abstract

Abstract:

Objective　To explore the impact of mobile health intervention based on COX's Interaction Model of Client Health Behaviors (IMCHB) on the health literacy and self-management behaviors of patients taking hemodialysis. Methods　One hundred and fourteen patients with end-stage renal disease who were treated by maintenance hemodialysis in Blood Purification Center, Huizhou Central People's Hospital from July 2021 to June 2022 were selected for the prospective study. They were divided into a control group and an observation group by the random number table method, with 57 cases in each group. In the control group, there were 31 males and 26 females; they were (49.70±8.58) years old. In the observation group, there were 33 males and 24 females; they were (50.98±7.46) years old. The control group took routine nursing, and the observation group mobile health intervention based on IMCHB. The health literacy levels, self-management behaviors, and quality of life (KDQ) of the two groups were compared. t, χ² and Z tests were applied. Results　After the intervention, the total score and the scores of functional health literacy, interactive health literacy, and critical health literacy of the health literacy questionnaire in the observation group were higher than those in the control group [(22.47±1.38) vs. (18.25±2.21), (7.68±0.95) vs. (6.47±1.42), (6.14±0.69) vs. (4.63±1.05), and (8.65±0.94) vs. (7.14±1.53)], with statistical differences (t=12.242, 5.365, 9.080, and 6.356; all P<0.05). After the intervention, the total score and the scores of self-care activities, problem solving, emotional processing, and partnership of the self-management behavior scale in the observation group were higher than those in the control group [(68.79±3.86) vs. (60.49±5.35), (23.77±2.96) vs. (21.63±3.37), (17.49±1.59) vs. (15.11±2.19), (13.68±1.36) vs. (11.46±2.09), and (13.68±1.26) vs. (12.30±1.95)], with statistical differences (t=9.503, 3.605, 6.644, 6.744, and 5.007; all P<0.05). After the intervention, the score of KDQ in the observation group was higher than that in the control group [(135.96±17.48) vs. (124.09±19.30)], with a statistical difference (t=3.444, P<0.05). Conclusion　Mobile health intervention based on IMCHB for patients taking hemodialysis can improve their level of health literacy, self-management behaviors, and quality of life.

Key words:

Hemodialysis, Mobile health, COX's Interaction Model of Client Health Behaviors, Health literacy, Self-management behaviors

摘要：

目的　探讨基于COX健康行为互动模式（IMCHB）的移动健康干预对血液透析患者健康素养和自我管理行为的影响。方法　选择2021年7月至2022年6月在惠州市中心人民医院血液净化中心进行维持性血液透析治疗的114例终末期肾病患者进行前瞻性研究，运用随机数字表法分为对照组和观察组，各57例。对照组男31例，女26例，年龄（49.70±8.58）岁，给予常规护理；观察组男33例，女24例，年龄（50.98±7.46）岁，给予基于IMCHB的移动健康干预。比较两组患者的健康素养水平、自我管理行为能力及生活质量（KDQ）。统计学方法采用t检验、χ²检验、Z检验。结果　干预后，观察组患者健康素养问卷中的总评分、功能性健康素养评分、互动性健康素养评分、批判性健康素养评分均高于对照组［（22.47±1.38）分比（18.25±2.21）分、（7.68±0.95）分比（6.47±1.42）分、（6.14±0.69）分比（4.63±1.05）分、（8.65±0.94）分比（7.14±1.53）分］，差异均有统计学意义（t=12.242、5.365、9.080、6.356，均P<0.05）。干预后，观察组患者自我管理行为量表中的总评分、执行自护活动评分、问题解决评分、情绪处理评分、伙伴关系评分均高于对照组［（68.79±3.86）分比（60.49±5.35）分、（23.77±2.96）分比（21.63±3.37）分、（17.49±1.59）分比（15.11±2.19）分、（13.68±1.36）分比（11.46±2.09）分、（13.68±1.26）分比（12.30±1.95）分］，差异均有统计学意义（t=9.503、3.605、6.644、6.744、5.007，均P<0.05）。干预后，观察组患者KDQ评分高于对照组［（135.96±17.48）分比（124.09±19.30）分］，差异有统计学意义（t=3.444，P<0.05）。结论　基于IMCHB的移动健康干预可提高血液透析患者的健康素养水平和自我管理行为能力，改善生活质量。

关键词:

血液透析, 移动健康, COX健康行为互动模式, 健康素养, 自我管理行为

Wu Xiaoqiong, Lyu Wei, Yi Yaqi, Wu Biyi.

Application of mobile health intervention based on COX's Interaction Model of Client Health Behaviors in patients taking hemodialysis [J]. International Medicine and Health Guidance News, 2023, 29(16): 2328-2332.

邬小琼吕薇易亚奇吴碧怡.

基于IMCHB的移动健康干预在血液透析患者中的运用 [J]. 国际医药卫生导报, 2023, 29(16): 2328-2332.

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