积极反刍思维训练对终末期肾病血液透析患者自我感受负担、知觉压力及自我效能的影响  

Effects of Positive Rumination Thinking Training on Self-perceived Burden,Perceived Stress and Self-efficacy in Patients with End-stage Renal Disease of Hemodialysis

作　　者：方莉[1] 陈磊[1] 黄桂英[1] FANG Li;CHEN Lei;HUANG Guiying(Department of Blood Purification,Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省立医院血液净化科,福建福州350001

出　　处：《中国医学创新》2024年第4期100-104,共5页Medical Innovation of China

摘　　要：目的:探究积极反刍思维训练对终末期肾病血液透析患者自我感受负担、知觉压力及自我效能的影响。方法:选择福建省立医院收治的终末期肾病血液透析患者106例作为研究对象,病例选取时间为2019年8月—2021年7月,采用随机数字表法对其分组,分为对照组和干预组,每组53例。对照组实施常规护理措施,干预组在对照组基础上进行积极反刍思维训练。干预前与干预后,分别调查统计两组患者的自我感受负担、知觉压力、自我效能。结果:干预后,干预组自我感受负担评分均明显低于对照组,差异均有统计学意义(P<0.05);干预后,干预组知觉压力显著低于对照组,差异有统计学意义(P<0.05);干预后,干预组合理休息、情绪控制、自我保健、遵医用药和健康问题评分均高于对照组,差异均有统计学意义(P<0.05)。结论:积极反刍思维训练能显著降低终末期肾病血液透析患者自我感受负担和知觉压力,同时也能提高患者的自我效能。Objective:To explore the effects of positive rumination thinking training on self-perceived burden,perceived stress and self-efficacy in patients with end-stage renal disease of hemodialysis.Method:A total of 106 patients with end-stage renal disease of hemodialysis admitted to Fujian Provincial Hospital were selected as the study objects,the cases selection time were from August 2019 to July 2021,and they were divided into control group and intervention group according to random number table method,53 cases in each group.The control group received routine nursing measures,and the intervention group received positive rumination thinking training on the basis of the control group.Before and after intervention,the self-perceived burden,perceived stress and selfefficacy of the two groups of patients were investigated and counted respectively.Result:After intervention,the self-perceived burden scores of the intervention group were significantly lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the perceived stress in the intervention group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).After intervention,the scores of rest reasonably,emotion control,self-care,compliance with medical drugs and health problem in the intervention group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Positive rumination thinking training can significantly reduce the self-perceived burden and perceived stress of patients with end-stage renal disease of hemodialysis,and at the same time improve their self-efficacy.

关 键 词：积极反刍思维训练 终末期肾病 血液透析 自我感受负担 知觉压力 自我效能 

分 类 号：R473.5[医药卫生—护理学]