健康信念联合焦点式赋权模式的运动干预在腹膜透析患者中的效果评价  

Evaluation of the effect of exercise intervention based on health belief model combined with focus empowerment model in peritoneal dialysis patients

作　　者：尚向娜 赵培培 罗冬平[1] 雷冰瑶 张雅慧 张洁琼 SHANG Xiangna;ZHAO Peipei;LUO Dongping;LEI Bingyao;ZHANG Yahui;ZHANG Jieqiong(First Affi liated Hospital of Henan University of Science and Technology,Luoyang,471003,China)

机构地区：[1]河南科技大学第一附属医院,河南省洛阳市471003 [2]河南科技大学护理学院

出　　处：《护理实践与研究》2023年第10期1435-1440,共6页Nursing Practice and Research

基　　金：河南省医学教育研究项目(编号:Wjlx2020456)。

摘　　要：目的探讨健康信念模式(HBM)联合焦点式赋权模式的运动干预在腹膜透析患者中的应用效果。方法选取2020年4月—2021年6月在洛阳市某三级甲等医院肾内科2个病区进行腹膜透析治疗的患者70例为研究对象,按照组间基本特征均衡可比的原则分为对照组和观察组,每组35例。对照组采用常规护理,观察组在对照组基础上采用HBM联合焦点式赋权模式的运动干预。比较两组患者在干预前、干预后3个月、干预后6个月运动锻炼自我效能得分、运动功能测试以及生活质量得分的差异,以及腹膜透析相关并发症发生率。结果两组患者干预前、干预后3个月、干预后6个月运动锻炼自我效能得分时间、组间、交互比较差异有统计学意义(P<0.05)。两组患者干预前、干预后3个月、干预后6个月生活质量得分时间、组间、交互比较差异有统计学意义(P<0.05)。两组患者干预前、干预后3个月、干预后6个月6 min步行试验以及10次坐立秒数组间、时间比较差异有统计学意义(P<0.05)。观察组腹膜透析相关并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论HBM联合焦点式赋权模式的运动干预,能促使腹膜透析患者采用积极态度应对治疗,提高患者运动依从性,改善生活质量。Objective To investigate the application effect of exercise intervention based on health belief model(HBM)combined with focus empowerment model in peritoneal dialysis patients.Methods To select 70 patients undergoing peritoneal dialysis treatment in two wards of the department of nephrology of a grade III grade A hospital in Luoyang city from April 2020 to June 2021 were selected as the study subjects.They were divided into a control group and an observation group based on the principle of balanced and comparable basic characteristics between the groups,with 35 patients in each group.The control group was treated with routine nursing,while the observation group was treated with exercise intervention using HBM combined with focused empowerment mode on the basis of the control group.The differences in exercise selfefficacy scores,motor function tests,and quality of life scores between the two groups before,3 months after,and 6 months after intervention were compared,as well as the incidence of complications related to peritoneal dialysis.Results There were statistically significant differences in exercise self-efficacy scores,time between groups,and interaction between the two groups before,3 months after,and 6 months after intervention(P<0.05).There were statistically significant differences in quality of life scores,time between groups,and interaction between the two groups before,3 months after,and 6 months after intervention(P<0.05).There was a statistically significant difference between the two groups in terms of time and time before intervention,3 months after intervention,and 6 months after intervention during the 6-minute walking test,as well as the 10 sitting and standing seconds array(P<0.05).The incidence of complications related to peritoneal dialysis in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The exercise intervention of HBM combined with focused empowerment model can promote peritoneal dialysis patients to adopt po

关 键 词：健康信念 焦点式赋权 腹膜透析 运动依从性 生活质量 应对方式 

分 类 号：R47[医药卫生—护理学]