终末期肾病患者照顾者照护认知水平影响因素分析  

Influencing factors of nursing cognition among caregivers of patients with end-stage renal disease

作　　者：李明 黄鹤楼 徐秀娥 张瑞雪 Li Ming;Huang Helou;Xu Xiue;Zhang Ruixue(Department of Nephrology,Affiliated Hospital of Jining Medical University,Jining 272029,China;Second Operating Room,Affiliated Hospital of Jining Medical University,Jining 272029,China)

机构地区：[1]济宁医学院附属医院肾内科,济宁272029 [2]济宁医学院附属医院第二手术室,济宁272029

出　　处：《中华现代护理杂志》2022年第22期3029-3032,共4页Chinese Journal of Modern Nursing

基　　金：山东省医药卫生科技发展计划项目 (2014WS0199)。

摘　　要：目的基于认知适应理论调查终末期肾病患者照顾者的照护认知水平现状,并探讨其影响因素。方法采取便利抽样法,选取济宁医学院附属医院2018年6月—2020年6月收治的150名终末期肾病患者照顾者为研究对象,以认知适应理论为指导,自行设计照顾者对终末期肾病照护认知水平调查问卷。根据调查结果将照顾者分为高认知组、低认知组,采用单因素分析、Logistic回归分析对照顾者认知水平的影响因素进行分析。结果共150名照顾者,其中照护认知水平高者60名,占40%。高认知组、低认知组在有无参加过知识培训、人生意义评分、内控量表评分、益处发现评分方面比较,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,有无参加过知识培训、人生意义、内在心理控制源、对益处的发现是终末期肾病患者照顾者照护认知水平的影响因素(P<0.05)。结论终末期肾病患者照顾者的照护认知水平受是否参加知识培训、人生意义感、内控心理控制源、益处发现影响。Objective To investigate the status quo of nursing cognition of caregivers of patients with end-stage renal disease based on cognitive adaptation theory and explore its influencing factors.Methods The convenient sampling method was adopted to select 150 caregivers of patients with end-stage renal disease admitted to Affiliated Hospital of Jining Medical University from June 2018 to June 2020 as the research objects.Guided by cognitive adaptation theory,a questionnaire was designed to investigate the caregivers'cognitive level of end-stage renal disease care.According to the survey results,caregivers were divided into the high cognition group and the low cognition group.Univariate analysis and Logistic regression analysis were used to analyze the influencing factors of cognitive level of caregivers.Results There were 150 caregivers in this group,60 of whom had high nursing cognition,accounting for 40%.There were statistically significant differences between the high cognition group and the low cognition group in knowledge training,life meaning score,internal control scale score and benefit discovery score(P<0.05).Logistic regression analysis showed that knowledge training,meaning of life,internal sources of control and the discovery of benefits were the influencing factors for the nursing cognition level of patients with end-stage renal disease(P<0.05).Conclusions The nursing cognition level of caregivers of patients with end-stage renal disease is affected by whether they participate in knowledge training,sense of life meaning,internal control psychological control source and benefit discovery.

关 键 词：认知适应理论 终末期肾病 照顾者 照护认知水平 影响因素 

分 类 号：R473.5[医药卫生—护理学]