自我效能理论指导下的护理干预在血液透析患者中的应用  

The Application of Nursing Intervention under the Guidance of Self-efficacy Theory in Hemodialysis Patients

作　　者：常美[1] 戴欢欢[1] 邓竹溪 梁爽[1] 吉小静[1] 

机构地区：[1]江苏省苏北人民医院,江苏扬州225001

出　　处：《齐鲁护理杂志》2016年第21期9-11,共3页Journal of Qilu Nursing

摘　　要：目的:自我效能理论指导下的护理干预在血液透析患者中的应用效果。方法:将接受血液透析的80例患者随机分为对照组和干预组各40例,对照组在透析过程中接受常规护理干预,观察组接受自我效能理论指导下的护理干预;干预前和干预后1、2、3、6个月时,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我护理能力测定量表(ESCA)、生活质量量表(SF-36)评价不同护理干预的效果。结果:干预后1、2、3、6个月时,观察组焦虑和抑郁评分较对照组明显降低(P<0.05),自我护理能力和生活质量较对照组显著提高(P<0.05)。结论:自我效能理论指导下的护理干预能够显著缓解血液透析患者的负面情绪,提高自我护理能力和生活质量。Objective ：To explore application effects of nursing intervention under the guidance of self- efficacy theory in hemodialysis patients. Methods ： A total of 80 patients who would accept hemodialysis were randomly divided into the control group and the intervention group ,40 cases in each group. The control group received routine nursing care during dialysis, and the observation group received the nursing intervention under the guidance of self - efficacy theory. Before and after the 1,2,3 and 6 months intervention, the effects of nursing intervention were evaluated by using the anxiety self- rating scale（ SAS）, the self- rating depression scale（ SDS）, the self care ability scale （ ESCA ）, quality of life scale （ SF - 36 ）. Results ： After 1,2,3,6 months intervention, the scores of anxiety and depression in the observation group were significantly lower than those in the control group（ P 〈0.05 ）, and the scores of elf-care ability and quality of life were significantly higher than those of the control group （ P 〈 0.05 ）. Conclusion ： Under the guidance of self efficacy theory, the nursing intervention can significantly relieve the negative emotions and improve the self- care ability and quality of life of patients with hemodialysis.

关 键 词：自我效能理论 血液透析 自我护理 生活质量 

分 类 号：R473.5[医药卫生—护理学]