认知行为干预对腹膜透析患者自我管理行为、心理弹性和应对方式的影响  

Effects of Cognitive Behavioral Intervention on Self-management Behavior, Mental Resilience and Coping Style of Peritoneal Dialysis Patients

作　　者：宋梦绮 陈萍丽[1] 曾杨[1] SONG Mengqi;CHEN Pingli;ZENG Yang(Ganzhou People’s Hospital,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院

出　　处：《中国医学创新》2019年第32期89-92,共4页Medical Innovation of China

摘　　要：目的:探讨认知行为干预对腹膜透析患者自我管理行为、心理弹性和应对方式的影响。方法:采取分层随机抽样的方法,选择2016年2月-2018年10月在本院肾内科进行腹膜透析治疗的100例患者纳入本次研究。根据管理方法不同分为观察组和对照组,每组50例。对照组给予常规管理,观察组在常规管理基础上给予认知行为干预。比较管理前、管理后3个月两组自我管理行为、心理弹性及应对方式评分。结果:管理后,观察组自我管理行为各项评分及总分均明显高于管理前及对照组(P<0.05)。管理后,观察组坚韧、乐观、力量评分及心理弹性总分均明显高于管理前及对照组(P<0.05)。管理后,观察组面对评分明显高于管理前及对照组,而回避、屈服评分均明显低于管理前及对照组(P<0.05)。结论:认知行为干预能够明显改善腹膜透析患者的管理行为、心理弹性和应对方式。Objective: To explore the effects of cognitive behavioral intervention on self-management behavior, mental resilience and coping style of peritoneal dialysis patients. Method: A total of 100 patients receiving peritoneal dialysis in the nephrology department of our hospital from February 2016 to October 2018 were selected by stratified random sampling. According to different management methods, they were divided into observation group and control group, with 50 cases in each group. The control group was given routine management. The observation group was given cognitive behavioral intervention on the basis of routine management. Self-management behavior score, mental resilience score and coping style score of two groups before and 3 months after the management were compared. Result: After the management, the each score and total score of self-management behaviors in the observation group were significantly higher than those of before the management and control group(P<0.05). After the management, the scores of tenacity, optimism, power and total score of mental resilience in the observation group were significantly higher than those of before the management and control group(P<0.05). After the management, the faced score in the observation group was significantly higher than that of before the management and control group, while the avoidance score and yield score were significantly lower than those of before the management and control group(P<0.05). Conclusion: Cognitive behavioral intervention can significantly improve the management behavior, psychological resilience and coping style of peritoneal dialysis patients.

关 键 词：腹膜透析 认知行为干预 自我管理 心理弹性 医学应对方式 

分 类 号：R47[医药卫生—护理学]