The goal of this clinical trial is to Improve the quality of life in Hemodialysis patient. The main questions it aims to answer are: * \[Improve the self-compliance of dialysis patients with weight management\] * \[alleviate the volume load of dialysis patients and reduce cardiovascular complications\] Participants will be divided into two groups based on a weight management regimen: Control group: received routine outpatient management. Specific methods: The dialysis doctor registered the information of the patient\'s weight and blood pressure at the end of dialysis, and informed the patient of the purpose, role and importance of weight management. Intervention group: On the basis of routine outpatient management, patients or their family members were subjected to remote follow-up management based on wechat, and the follow-up time was 6 months. Specific methods: Same as the control group, the information of weight and blood pressure of the patients was registered at the end of dialysis, and the purpose, role and importance of weight management were informed to the patients. On this basis, a special wechat signal is set up to add patients or patients\' family members as wechat friends and establish a wechat interaction platform with patients. In the interdialysis period, remind patients to weigh themselves through wechat (the time of each weighing is fixed, preferably consistent with the time of weighing in the hemodialysis center), control the weight gain during the interdialysis period not to exceed 4.5% of dry weight, and inform patients again about the purpose, role and importance of weight management.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
100
On the basis of routine outpatient management, patients or their family members were subjected to remote follow-up management based on wechat, and the follow-up time was 6 months. Specific methods: Same as the control group, the information of weight and blood pressure of the patients was registered at the end of dialysis, and the purpose, role and importance of weight management were informed to the patients. On this basis, a special wechat signal is set up to add patients or patients' family members as wechat friends and establish a wechat interaction platform with patients. In the interdialysis period, remind patients to weigh themselves through wechat (the time of each weighing is fixed, preferably consistent with the time of weighing in the hemodialysis center), control the weight gain during the interdialysis period not to exceed 4.5% of dry weight, and inform patients again about the purpose, role and importance of weight management.
The dialysis doctor registered the information of the patient's weight and blood pressure at the end of dialysis, and informed the patient of the purpose, role and importance of weight management.
Adverse event rate
incidence of cardiovascular events (or hospitalization rate due to cardiovascular events such as hypertension and heart failure)
Time frame: 4, 8, and 12 weeks after intervention
Rate of completion
Completion rate of home self-measured weight combined with wechat intervention(including completion rate of home self-measured weight, completion rate of wechat intervention, and combination completion rate)
Time frame: 4, 8, and 12 weeks after intervention
dialysis related symptoms
(fatigue, weakness, pruritus, dialysis patient quality of Life scale)
Time frame: 4, 8, and 12 weeks after treatment
Laboratory index
hemoglobin
Time frame: 4, 8, and 12 weeks after treatment
level of Ga
Laboratory index
Time frame: 4, 8, and 12 weeks after treatment
level of P
Time frame: 4, 8, and 12 weeks after treatment
level of PTH
Time frame: 4, 8, and 12 weeks after treatment
level of K
Time frame: 4, 8, and 12 weeks after treatment
level of Na
Time frame: 4, 8, and 12 weeks after treatment
level of Cl
Time frame: 4, 8, and 12 weeks after treatment
concentration of albumin and prealbumin
Time frame: 4, 8, and 12 weeks after treatment
Laboratory index of total protein
Time frame: 4, 8, and 12 weeks after treatment
Dialysis efficiency \ dialysis adequacy (KTV)
Dialysis efficiency \\ dialysis adequacy (KTV)
Time frame: 4, 8, and 12 weeks after treatment
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