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Effects of a transtheoretical model-based WeChat health education programme on self-management among haemodialysis
Qingli Ren1,2, Minling Lian3, Yang Liu1
1Nursing Department, School of Medicine, Xiamen University, Xiamen, China.
Aim:
To examine the effects of a transtheoretical model-based WeChat health education programme on self-management in haemodialysis patients in China.
Design:
A longitudinal experimental intervention study.
Methods:
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 ).
Results:
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 .
Conclusion:
The transtheoretical model-based WeChat health education programme had a potentially positive effect on improving the self-management of haemodialysis patients.
Impact:
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.
Trial Registration:
ChiCTR1800018172.
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