The Application Effect of Internet + Health Service on Improving Malnutrition Status of Hemodialysis Patients

Abstract

To explore the application effect of Internet + health service on improving the malnutrition status of hemodialysis patients. Methods: 92 patients with malnutrition in maintenance hemodialysis were randomly divided into the control group and intervention group with 46 cases in each group. Four hours of routine health management for dialysis was conducted in both groups. On this basis, the intervention group received six months of Internet + health services, including online nursing consultation, Internet + on-site nursing, WeChat guidance, Tencent conference propaganda and education, and online public lectures. The nutritional status, Body Mass Index (BMI), prealbumin (PA), albumin, hemoglobin, serum calcium and phosphorus and other indicators of the two groups were compared one day before and 3 months and 6 months after implementing Internet + health services in the intervention group. Results: there was no statistically significant difference in modified-quantitative subjective global assessment (MQSGA) score, BMI, PA, albumin, hemoglobin, and serum calcium and phosphorus between the two groups before intervention and in the albumin value between the two groups after 3 months of intervention (P>0.05). After 3 and 6 months of intervention, the MQSGA scores of the intervention group were (13.29 ± 3.34) and (9.38 ± 2.27), respectively, which were significantly lower than those of the control group (15.40 ± 3.63) and (14.58 ± 3.93). The BMI is (17.91 ± 5.29) and (19.25 ± 5.74)kg/m2, respectively, which were significantly higher than those of the control group (16.42 ± 3.43) and (16.46 ± 3.75)kg/m2. Moreover, the difference between the two groups was statistically significant (P<0.01). After 3 and 6 months of intervention, PA, hemoglobin, and serum calcium and phosphorus in the intervention group were significantly improved compared with those in the control group. After 6 months of intervention, albumin was significantly improved and the difference was statistically significant (t=- 20.791 ~ 7.45, P<0.01). Conclusion: The implementation of Internet + health services can significantly improve the nutritional status of outpatient hemodialysis patients.