摘要
目的研究控制理论心理护理在尿毒症血液透析患者中的应用效果。方法选取2019年12月-2023年2月在我院接受血液透析治疗的86例尿毒症患者,根据随机数字表法将其分为对照组及研究组,每组各43例。对照组行常规护理,研究组行控制理论心理护理,对比两组患者干预前、干预后心理状态、疾病应对方式及自我管理能力。结果干预前,两组患者焦虑抑郁量表(hospital anxiety and depression scale,HADS)各维度评分及总评分对比无显著差异(P>0.05);干预后,两组患者HADS各维度评分及总评分均有下降(P<0.05),研究组低于对照组(P<0.05)。干预前,两组患者医学应对方式问卷(medical coping modes questionnaire,MCMQ)各因素评分对比无显著差异(P>0.05);干预后,两组患者MCMQ积极面对因素评分均有提升(P<0.05),研究组高于对照组(P<0.05),两组患者MCMQ屈服、回避因素评分均有下降(P<0.05),研究组低于对照组(P<0.05)。干预前,两组患者自我管理能力量表各维度评分及总评分对比无显著差异(P>0.05);干预后,两组患者自我管理能力量表各维度评分及总评分均有提升(P<0.05),研究组高于对照组(P<0.05)。结论控制理论心理护理可有效改善尿毒症血液透析患者心理状态,提升疾病应对方式及自我管理能力。
Objective:To study the effect of control theory on psychological nursing in hemodialysis patients with uremia.Methods:A total of 86 patients with uremia who received hemodialysis in our hospital from December 2019 to February 2023 were selected,and were divided into a control group and a research group according to random number table method,with 43 cases in each group.The control group received routine psychological nursing,while the research group received psychological nursing of control theory.The psychological state,disease coping style and self-management ability between the two groups were compared before and after intervention.Results:Before intervention,there were no significant differences in hospital anxiety and depression scale(HADS)scores and total scores between the two groups(P>0.05).After intervention,HADS scores of all dimensions and total scores decreased in both groups(P<0.05),and the study group was lower than the control group(P<0.05).Before intervention,the scores of medical coping modes questionnaire(MCMQ)were not significantly different between the two groups(P>0.05).After intervention,the scores of MCMQ positive facing factors were increased in both groups(P<0.05),the study group was higher than the control group(P<0.05),the scores of MCMQ yield and avoidance factors decreased in both groups(P<0.05),and the study group was lower than the control group(P<0.05).Before intervention,there were no significant differences in the scores of each dimension and total scores of the self-management ability scale between the two groups(P>0.05).After intervention,the scores of all dimensions and total scores of the self-management ability of patients in both groups were improved(P<0.05),and the study group was higher than the control group(P<0.05).Conclusion:Psychological nursing of control theory can effectively improve the psychological state of hemodialysis patients with uremia,improve the disease coping style and self-management ability.
作者
李清
LI Qing(Fengcheng Traditional Chinese Medicine Hospital,Fengcheng Jiangxi 331100,China)
出处
《透析与人工器官》
2023年第4期82-86,共5页
Chinese Journal of Dialysis and Artificial Organs
关键词
认知行为护理
尿毒症
应对方式
自我管理能力
cognitive behavioral nursing
uremia
coping style
self-management ability
