Effects of web-based self-management model on preventing renal vein thrombosis in patients with nephrotic syndrome

Objective To explore the effects of web-based self-management model on preventing renal vein thrombosis (RVT) in patients with nephrotic syndrome (NS) . Methods Totally 126 NS patients hospitalized in the First Affiliated Hospital of Zhengzhou University from June 2017 to June 2018 were selected by convenient sampling and divided into conventional management group (n=64) and web-based self-management group (n=62) by random draw. Patients in the conventional management group received routine discharge guidance, while patients in the web-based self-management group received comprehensive web-based self-management based on routine nursing, including education webpage, WeChat group, and SMS and phone alerts based on the telecommunications network. The incidence of RVT in the two groups was collected in the outpatient clinic 6 months after discharge. The Self-Efficacy Scale and Health Promoting Lifestyle Profile (HPLP-II) were used to evaluate the self-management efficacy and health behavior of the two groups on the day of discharge and 6 months after discharge. Results One cases of RVT occurred in the web-based self-management group (1 case was lost to follow-up) , and 8 cases of RVT occurred in the conventional management group (4 cases were lost to follow-up) . The incidence of RVT in the web-based self-management group was 1.64%, lower than 13.33% in the conventional management group, and the differences were statistically significant (χ2=6.008; P=0.014) . The scores of two dimensions as well as the total self-efficacy scores increased in both groups 6 months after discharge, and those of the web-based self-management group were higher than those of the conventional management group, and the differences were statistically significant (P< 0.01) . Compared with the day of discharge, the scores in different HPLP-II dimensions increased in both groups 6 months post discharge, and the differences were statistically significant (P< 0.01) . The scores of the web-based self-management group were higher than those of the conventional management group, and the differences were statistically significant (P< 0.01) . Conclusions The web-based self-management model can reduce the incidence of RVT in NS patients, and improve their self-efficacy, health behavior and self-management out of hospital. Key words: Nephrotic syndrome; Renal vein thrombosis; Self-management; Health behavior; Prevention; Web