以家庭为中心的智谋训练在腹膜透析患者中的应用研究

doi:10.3761/j.issn.1672-9234.2024.03.001

Abstract

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

LI Xiumei, ZHANG Hongmei, LI Xiaohan, ZHANG Yali, WU YuanyuanI. Application of family-centered resourcefulness training in peritoneal dialysis patients[J].Chinese Journal of Nursing Education, 2024, 21(3): 261-268.

Figures/Tables 5

References 24

[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. doi: S0272-6386(19)30043-5 pmid: 30799030
[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.
	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. doi: 10.1038/nrneph.2016.181
[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. doi: 10.1111/nep.2018.23.issue-2
[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.
	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. pmid: 7706055
[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. doi: 10.1016/j.apnu.2014.10.002
[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. doi: 10.12659/MSM.909442
[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. doi: 10.1080/01612840.2019.1693670 pmid: 32255406
[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. pmid: 16764178
[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.
	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. doi: 10.13109/zptm.2006.52.3.274 pmid: 17156600
[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.
	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. doi: 10.1016/j.jad.2019.04.083
[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. doi: 10.1016/j.burns.2022.12.018
[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. doi: 10.3109/01612840.2015.1087606 pmid: 26979665
[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.

Application of family-centered resourcefulness training in peritoneal dialysis patients

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 5

References 24

Related Articles 7

Metrics

Comments

Recommended 10

[1]	HU Sihong, WANG Qin, WANG Mingzhu, LI Shanshan, TAO Yanling. Construction of a peritoneal dialysis peer educator training content checklist [J]. Chinese Journal of Nursing Education, 2024, 21(8): 986-992.
[2]	WANG Rui, SUI Hongping, LI Tingting, JIANG Tongtong, XIA Yunlong, SHI Tieying. The stigma experience of lung cancer patients：a meta-synthesis of qualitative studies [J]. Chinese Journal of Nursing Education, 2024, 21(2): 231-236.
[3]	XIANG Ting-ting,JIANG Xiao-jian,LI Mei-zhi,LIU Juan,WANG Wei-yue,WANG Li-yi. The mediating effect of hope level in stigma and social dysfunction in patients with schizophrenia [J]. Chinese Journal of Nursing Education, 2022, 19(7): 657-661.
[4]	ZHANG Le-le,LI Rui-ling,CHENG Qiu-hong,CUI Qian,QU Rui-jie. A systematic review of the cognitive behavioral therapy on fear of disease progression in cancer patients [J]. Chinese Journal of Nursing Education, 2022, 19(3): 242-247.
[5]	XU Sa, TIAN Rui-jie, YUAN Yuan, LI Xing. A survey of disease acceptance of patients with maintenance peritoneal dialysis [J]. Chinese Journal of Nursing Education, 2019, 16(9): 702-705.
[6]	. [J]. 中华护理教育, 2017, 14(2): 142-145.
[7]	. [J]. 中华护理教育, 2016, 13(11): 877-880.