社会支持联合心理干预对血液透析患者心理弹性和健康信念的影响  

Effects of social support combined with psychological intervention on resilience and health beliefs in hemodialysis patients

作　　者：崔玉莲 王玲[1] 邹霜[1] 陈妮妮[1] 陈美琳 CUI Yulian;WANG Ling;ZOU Shuang;CHEN Nini;CHEN Meilin(Xiangyang Central Hospital,Hubei University of Arts and Sciences,Affiliated Hospital,Dialysis Room,Xiangyang 441000,China;The Hematology Department of Wuhan Hospital of Traditional Chinese Medicine)

机构地区：[1]湖北省襄阳市中心医院,湖北文理学院附属医院透析室,441000 [2]武汉市中医医院血液科

出　　处：《中国健康心理学杂志》2023年第9期1338-1343,共6页China Journal of Health Psychology

基　　金：湖北省自然科学基金(编号:2019CFB684)。

摘　　要：目的:探究社会支持联合心理干预对血液透析患者心理弹性和健康信念的影响。方法:选取2020年5月-2022年5月某院收治106例血液透析患者,随机分为对照组和观察组,各53例,对照组给予常规干预,观察组在对照组基础上给予社会支持联合心理干预。比较两组心理弹性[心理弹性量表(CD-RISC)]、社会支持[社会支持评定量表(SSRS)]、创伤后成长[创伤后成长评定量表(PTGI)]、健康信念[Champion健康信念模式量表(CHBMS)]及生活质量[生存质量测定量表简表(QOL-BREF)]。结果:观察组CD-RISC量表各维度评分明显高于对照组(t=4.674,6.968,7.903;P<0.001),SSRS量表各维度评分明显高于对照组(t=7.117,8.615,11.155;P<0.001),PTGI各维度评分明显高于对照组(t=4.673,5.027,8.678,2.633,4.741;P<0.05),CHBMS各维度评分明显高于对照组(t=5.869,2.986,3.494,3.264,4.730;P<0.05),QOL-BREF各维度评分均明显高于对照组(t=5.604,5.210,4.420,3.994,6.083,3.688;P<0.001)。结论:相较于常规干预,社会支持联合心理干预可明显增加血液透析患者的心理弹性,提高社会支持度,促进创伤后成长,改善健康信念,提升生活质量。Objective:To explore the effect of social support combined with psychological intervention on psychological resilience and health beliefs of hemodialysis patients.Methods:A total of 106 hemodialysis patients admitted to our hospital from May 2020 to May 2022 were selected and randomly divided into a control group and an observation group,53 cases in each group.The control group was given routine intervention,and the observation group was given social support combined with psychological intervention on the control group.The scores of Comparison of resilience[Connor-DavidsonResilience Scale(CD-RISC)],social support[Social Support Rating Scale(SSRS)],post-traumatic growth[Post-traumatic Growth Rating Scale(PTGI)],health beliefs[Champion Health Belief Models Scale(CHBMS)]and quality of life[Quality of Life Measurement Short Form(QOL-BREF)]were compared between the two groups.Results:The scores of each dimension of the CD-RISC scale in the observation group were significantly higher than those in the control group(t=4.674,6.968,7.903;P<0.001),and the scores in each dimension of the SSRS scale were significantly higher than those in the control group(t=7.117,8.615,11.155;P<0.001),the scores of each dimension of PTGI were significantly higher than those of the control group(t=4.673,5.027,8.678,2.633,4.741;P<0.05),and the scores of each dimension of CHBMS were significantly higher than those of the control group(t=5.869,2.986,3.494,3.264,4.730;P<0.05),and the scores of each dimension of QOL-BREF were significantly higher than those of the control group(t=5.604,5.210,4.420,3.994,6.083,3.688;P<0.001).Conclusion:Compared with conventional intervention,social support combined with psychological intervention can significantly increase the psychological resilience of hemodialysis patients,improve social support,promote post-traumatic growth,improve health beliefs,and improve life quality.

关 键 词：社会支持 心理干预 血液透析 心理弹性 健康信念 

分 类 号：R395.5[哲学宗教—心理学]