基于问题解决法的护理干预对肾功能衰竭患者心理弹性及自我管理行为的影响  

Effect of nursing intervention based on problem-solving method on psychological resilience and self-management behavior of patients with renal failure

作　　者：黄丹丹 孙文丽[1] 谢美玲 HUANG Dandan;SUN Wenli;XIE Meiling(Department of Nephrology,the First Affiliated Hospital of Fujian Medical University,Fujian,Fuzhou 350000,China)

机构地区：[1]福建医科大学附属第一医院肾内科,福建福州350000

出　　处：《中国医药科学》2022年第7期131-134,共4页China Medicine And Pharmacy

摘　　要：目的探讨肾功能衰竭患者实施基于问题解决法的护理干预对调节心理状态,提高患者自我管理行为能力的作用。方法选择2020年5月至2021年5月于福建医科大学附属第一医院接受治疗的肾功能衰竭患者89例为研究对象,以随机数字表法分为观察组(n=45)与对照组(n=44),对照组采取常规护理,观察组实施基于问题解决法的护理干预,评估两组患者干预前后心理变化,分析两组患者干预前后自我管理行为能力差异。结果干预前,两组患者心理状态评分、自我管理行为评分、肾功能指标比较,差异无统计学意义(P>0.05),干预后,观察组患者SAS、SDS评分,血肌酐(Scr)及尿素氮(BUN)水平均低于对照组(P<0.05),自我管理各行为能力评分高于对照组,差异有统计学意义(P<0.05)。结论肾功能衰竭患者通过采取基于问题解决法的护理干预能够有效提高患者自我管理行为能力,同时对改善患者不良心态具有良好效果,提倡临床应用推广。Objective To explore the effect of nursing intervention based on problem-solving method in patients with renal failure in regulating their psychological state and improving their self-management ability.Methods A total of 89 renal failure patients who were treated by the First Affiliated Hospital of Fujian Medical University from May 2020 to May 2021 were selected as study subjects and divided into the observation group(n=45)and the control group(n=44)by random number table method.The control group received routine nursing,while the observation group received the nursing intervention based on problemsolving method.The psychological changes of patients in the two groups before and after intervention were evaluated,and the differences in self-management behavior ability of patients in the two groups before and after intervention were analyzed.Results Before the intervention,there were no statistical differences in the scores of psychological state and self-management behavior,renal function index between the two groups(P>0.05);after the intervention,the SAS and SDS scores,serum creatinine(Scr)and blood urea nitrogen(BUN)levels of the observation group were lower than those of the control group(P<0.05),and the self-management behavior score was higher than that of the control group,with statistically significant difference(P<0.05).Conclusion The nursing intervention based on problem-solving method effectively improves the self-management ability of renal failure patients,and at the s ame time,it has a good effect on improving the unhealthy m entality of patients.Therefore,it is recommended to be promoted in the clinical app lication.

关 键 词：基于问题解决法的护理干预 肾功能衰竭 心理弹性 自我管理行为 心理状态 

分 类 号：R473.5[医药卫生—护理学]