自我效能与应对方式干预对维持性血液透析病人生活质量的影响  

The effects of self-efficacy and coping style intervention on quality of life in patients with maintenance hemodialysis

作　　者：景颖颖[1] 唐丽春[1] 汪瑶[1] 

机构地区：[1]同济大学附属杨浦医院(上海市杨浦区中心医院)

出　　处：《全科护理》2015年第25期2459-2461,共3页Chinese General Practice Nursing

摘　　要：[目的]探讨自我效能与应对方式干预对维持性血液透析病人生活质量的影响。[方法]选择120例维持性血液透析病人,按照随机数字表法分为对照组、观察组各60例。对照组病人给予常规血液透析护理,观察组在此基础上给予自我效能与应对方式的干预。干预6个月后,采用一般自我效能感量表(GSES)、医学应对方式问卷(MCMQ)和健康状况调查量表(SF-36)评价两组病人的自我效能、应对方式和生活质量。[结果]观察组病人干预后自我效能、面对应对、回避应对、生活质量总分及各维度均高于对照组,而屈服应对低于对照组,差异有统计学意义(P<0.05)。[结论]自我效能与应对方式干预可以提高维持性血液透析病人的生活质量。Objective：To explore the effects of self-efficacy and coping style intervention on quality of life in patients with maintenance hemodialysis.Methods：Total 120 patients with maintenance hemodialysis were randomly divided into control group（n=60）and observation group（n=60）.The control group was given conventional hemodialysis nursing,which is the basis,the observation group was given bonus intervention of self-efficacy and coping style.After six months,the self-efficacy,coping style and quality of life scores were evaluated using the general self-efficacy scale（GSES）,Medical Coping Modes Questionnaire（MCMQ）and Health Survey Scale（SF-36）.Results：The self-efficacy,facing coping,avoidance coping,and the quality of life scores and all dimensions scores in observation group were significantly higher than those of control group.The yield response score in observation group was lower than that in control group,which the difference was statistically significant（P〈0.05）.Conclusion：The intervention of self-efficacy and coping style could significantly improve the quality of life in patients with maintenance hemodialysis.

关 键 词：维持性血液透析 自我效能 应对方式 生活质量 

分 类 号：R473.5[医药卫生—护理学]