网络自我表露对终末期肾病行腹膜透析病人心理弹性的影响  

Effect of online self-disclosure on the psychological resilience of end-stage renal disease patients undergoing peritoneal dialysis

作　　者：胡娟 蒋恩社 杨阳 HU Juan;JIANG Enshe;YANG Yang(Henan Hongli Hospital,Henan 453000 China)

机构地区：[1]河南宏力医院,453000 [2]河南大学护理与健康学院,475004 [3]中山大学附属中山医院,528400

出　　处：《全科护理》2022年第24期3324-3327,共4页Chinese General Practice Nursing

摘　　要：目的:探讨网络自我表露干预对终末期肾病行腹膜透析病人心理弹性的影响。方法:选取2021年6月—2021年8月某三级甲等医院收治的终末期肾病行腹膜透析病人60例,按入院治疗顺序交叉进入干预组和对照组各30例,对照组给予常规护理,干预组在常规护理的基础上进行为期3个月的网络自我表露干预。3个月后使用痛苦自我表露指数量表和心理弹性量表分别对两组病人进行自我表露意愿和心理弹性评分。结果:干预3个月后干预组病人痛苦自我表露意愿得分显著高于干预前和对照组(P<0.001)。网络自我表露干预后,干预组病人坚韧[(36.91±1.85)分]、力量[(13.73±1.34)分]、乐观[(8.53±1.21)分]评分显著高于对照组(P<0.001),并且高于干预前(P<0.001)。结论:给予终末期肾病行腹膜透析病人网络自我表露干预可显著提升病人的自我表露意愿和心理弹性水平。Objective:To explore the effect of online self-disclosure intervention on psychological resilience of patients with end-stage renal disease undergoing peritoneal dialysis.Methods:From June 2021 to August 2021,a total of 60 patients with end-stage renal disease who underwent peritoneal dialysis in a tertiary grade A hospital were selected.They were divided into the intervention group and the control group according to the order of admission crossly,with 30 cases in each.The patietns in control group received routine nursing care,and the patients in intervention group received the online self-disclosure intervention for 3 months based on usual care.After 3 months,the self-disclosure willingness and the psychological resilience of the two groups of patients were evaluated by the Distress Disclosure Index Scale and Connor-Davidson Resilience Scale,respectively.Results:Before the intervention,there were no significant differences in the general data of the patients.After 3 months of intervention,the pain self-disclosure willingness score of the intervention group was significantly higher than that before the intervention and that in the control group(P<0.001).After the online self-disclosure intervention,the score of tenacity(36.91±1.85),strength(13.73±1.34),and optimism(8.53±1.21)in the intervention group were significantly higher than those in the control group(P<0.001)and before the intervention(P<0.001).Conclusions:Online self-disclosure intervention for end-stage renal disease patients undergoing peritoneal dialysis could significantly improve patients′self-disclosure willingness and level of psychological resilience.

关 键 词：终末期肾病 腹膜透析 自我表露 心理弹性 心理护理 

分 类 号：R473.5[医药卫生—护理学]