ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　Scopus
中华护理教育

中华护理教育 >

2024 , Vol. 21 >Issue 3: 261 - 268

DOI: https://doi.org/10.3761/j.issn.1672-9234.2024.03.001

论著

以家庭为中心的智谋训练在腹膜透析患者中的应用研究

  • 李秀梅 ,
  • 张红梅 ,
  • 李晓寒 ,
  • 张雅丽 ,
  • 武园园
展开
  • 450001 郑州市 河南省人民医院
李秀梅，女，硕士，主管护师，E-mail：13526602599@163.com

网络出版日期: 2024-03-13

收起

Application of family-centered resourcefulness training in peritoneal dialysis patients

  • Xiumei LI ,
  • Hongmei ZHANG ,
  • Xiaohan LI ,
  • Yali ZHANG ,
  • YuanyuanI WU
Expand
  • Henan Provincial People's Hospital, Zhengzhou, 450001, China

Online published: 2024-03-13

Fold

摘要

目的 探讨以家庭为中心的智谋训练在腹膜透析患者中的应用效果。方法 在构建以家庭为中心的腹膜透析患者智谋训练方案的基础上,2021年1月—12月选取固定在本院肾内科接受随访的106例腹膜透析患者作为研究对象,采用随机数字表法将其分为对照组(n=53)和试验组(n=53)。对照组实施常规护理,试验组给予常规护理结合以家庭为中心的智谋训练,比较干预前、千预8周后两组智谋、疾病进展恐惧﹑腹膜透析病耻感水平。结果 瞭干预8周后,试验组智谋总分为(85.17±16.48)分,高于对照组的(73.87±18.45)分(P<0.05) ;试验组疾病进展恐惧总分为(33.85+4.72)分,低于对照组的(37.15土5.36)分(P<0.05) ;试验组病耻感总分为(56.87±16.66)分,低于对照组的(64.09±16.65)分(P<0.05)。结论 以家庭为中心的智谋训练能有效提高腹膜透析患者的智谋水平,降低其疾病进展恐惧与病耻感水平。

关键词： 腹膜透析; 智谋训练; 疾病进展恐惧; 病耻感; 家庭干预

本文引用格式

李秀梅 , 张红梅 , 李晓寒 , 张雅丽 , 武园园 . 以家庭为中心的智谋训练在腹膜透析患者中的应用研究[J]. 中华护理教育, 2024 , 21(3) : 261 -268 . DOI: 10.3761/j.issn.1672-9234.2024.03.001

Abstract

Objective To explore the effect of family-centered resourcefulness training in peritoncal dialysis pa-tients. Methods Based on the construction of a family-centered resourcefulness training intervention program, a to-tal of 106 patienls recevied fixed follow-up in the Department of Nephrology in our hospital were selected by con-venience sampling from January to December 2021. Participants were divided into control group and experimentalgroup by random number table method, with 53 patients in each group. The control group got routine nursing care, while the experimenlal group got routine nursing combined with family-centered resourcefulness training intervention. The levels of resourcefulness, fear of disease progression, and peritoneal dialysis stigma were compared before andafter intervention betwcen the two groups. Results Afier the eighl-week of inlervention, tlhe lotal score of resource-fulness in the experimental group was(85.17±16.48 ), which was higher than that of the control group(73.87±18.45), and the difference was statistically significant(P<0.05 ). Besides, the total score of fear of disease progression in theexperimental group was(33.85+4.72),which was lower than that of the control group(37.1515.36), and the differencewas statistically significant(P<0.05). In addition, the total score of stigma in the experimental group was(56.87±16.66), which was lower than that of the control group (64.09±16.65), and the difference was slatistically significant(P<0.05). Conclusion The family-centered resourcefulness training can effectively improve the resourcefulness level ofpatients with peritoneal dialysis, and reduce the level of fear of disease progression and peritoneal dialysis stigma.

Key words： Peritoneal dialysis; Resourcefulness training; Fear of disease progression; Stigma; Family intervention

参考文献

[1] Briggs V, Davies S, Wilkie M. International variations in peritoneal dialysis utilization and implications for practice[J]. Am J Kidney Dis, 2019, 74(1):101-110.
[2] 倪兆慧, 金海姣. 中国腹膜透析发展70年[J]. 中国血液净化, 2019, 18(10):661-663.
[2] Ni ZH, Jin HJ. The developmental history of peritoneal dialysis in China in the 70 years[J]. Chin J Blood Purif, 2019, 18(10):661-663.
[3] Li PK, Chow KM, van de Luijtgaarden MW, et al. Changes in the worldwide epidemiology of peritoneal dialysis[J]. Nat Rev Nephrol, 2017, 13(2):90-103.
[4] Chan KM, Cheung CY, Chan YH, et al. Prevalence and impact of anxiety and depression in Chinese peritoneal dialysis patients:a single centre study[J]. Nephrology, 2018, 23(2):155-161.
[5] 张阳, 潘清燕, 路国华, 等. 慢性肾脏病病人健康素养水平与生活质量、疾病进展恐惧的调查分析[J]. 全科护理, 2021, 19(28):3909-3913.
[6] 陈国伟, 黄燕林, 王涵, 等. 腹膜透析病人自尊水平在病耻感与生活质量之间的中介效应分析[J]. 护理研究, 2021, 35(20):3632-3636.
[6] Chen GW, Huang YL, Wang H, et al. Mediating effect analysis of self-esteem level between stigma and quality of life in peritoneal dialysis patients[J]. Chin Nurs Res, 2021, 35(20):3632-3636.
[7] Zauszniewski JA. Learned resourcefulness:a conceptual analysis[J]. Issues Ment Health Nurs, 1995, 16(1):13-31.
[8] Wang SM, Lai CY, Chang YY, et al. The relationships among work stress,resourcefulness,and depression level in psychiatric nurses[J]. Arch Psychiatr Nurs, 2015, 29(1):64-70.
[9] Lai CY. Resourcefulness theory and its research and application in psychiatric and mental health nursing[J]. Hu Li Za Zhi, 2021, 68(1):6-12.
[10] 邓燕萍, 刘雅清, 吴美华, 等. 基于智谋理论心理健康辅导对乳腺癌手术患者心理状况及智谋的影响[J]. 解放军护理杂志, 2018, 35(5):24-28.
[11] Huang LF, Gui SJ, Wan YP, et al. Effect of resourcefulness training on symptoms distress of patients with nasopharyngeal carcinoma[J]. Med Sci Monit, 2018, 24:5624-5634.
[12] Wang Q, Yang ZK, Sun XM, et al. Association of social support and family environment with cognitive function in peritoneal dialysis patients[J]. Perit Dial Int, 2017, 37(1):14-20.
[13] Zauszniewski JA, Burant CJ. Resourcefulness as a mediator of the effects of dementia symptoms and caregiver reactions on caregiver mental health[J]. Issues Ment Health Nurs, 2020, 41(6):486-493.
[14] 王海燕, 储明子. 行为干预和健康教育改善非卧床腹膜透析患者生活质量水平和消极情绪的效果分析[J]. 护士进修杂志, 2020, 35(2):164-167.
[15] Zauszniewski JA, Lai CY, Tithiphontumrong S. Development and testing of the Resourcefulness Scale for Older Adults[J]. J Nurs Meas, 2006, 14(1):57-68.
[16] 柯熹, 吴美华, 刘雅清, 等. 中文版智谋量表信效度分析[J]. 中华现代护理杂志, 2015, 21(15):1737-1740.
[16] Ke X, Wu MH, Liu YQ, et al. Reliability and validity analysis of Chinese Resourcefulness Scale[J]. Chin J Mod Nurs, 2015, 21(15):1737-1740.
[17] Mehnert A, Herschbach P, Berg P, et al. Fear of progression in breast cancer patients:validation of the short form of the Fear of Progression Questionnaire(FoP-Q-SF)[J]. Z Psychosom Med Psychother, 2006, 52(3):274-288.
[18] 吴奇云, 叶志霞, 李丽, 等. 癌症患者恐惧疾病进展简化量表的汉化及信效度分析[J]. 中华护理杂志, 2015, 50(12):1515-1519.
[18] Wu QY, Ye ZX, Li L, et al. Reliability and validity of Chinese version of Fear of Progression Questionnaire-Short Form for cancer patients[J]. Chin J Nurs, 2015, 50(12):1515-1519.
[19] 詹刘莉. 腹膜透析患者病耻感量表的研制[D]. 南京: 南京中医药大学, 2021.
[20] Guo LN, Zauszniewski JA, Liu YJ, et al. Is resourcefulness as a mediator between perceived stress and depression among old Chinese stroke patients?[J]. J Affect Disord, 2019, 253:44-50.
[21] Zhang J, Ding LY, Wu YX, et al. Perceived stigma in burn survivors:associations with resourcefulness and alexithymia[J]. Burns, 2023, 49(6):1448-1456.
[22] Bekhet AK, Zauszniewski JA. The effect of a resourcefulness training intervention on relocation adjustment and adaptive functioning among older adults in retirement communities[J]. Issues Ment Health Nurs, 2016, 37(3):182-189.
[23] 杜茸茸, 李嵘, 杜益焕, 等. 自我效能感在腹膜透析患者病耻感与社会疏离感间的中介作用[J]. 联勤军事医学, 2023, 37(12):1036-1039.
[24] 陈国伟, 黄燕林, 王涵, 等. 腹膜透析病人自尊水平在病耻感与生活质量之间的中介效应分析[J]. 护理研究, 2021, 35(20):3632-3636.
Options
文章导航

/

〈 〉