基于自我决定理论的干预策略对维持性血液透析患者血液透析知识水平、心理需要、自我效能的影响  

Impact of intervention strategies based on self-determination theory on hemodialysis knowledge level,psychological needs,and self-efficacy of maintenance hemodialysis patients

作　　者：王莉娟 刘倩茹 马婷婷 仇伟伟 张磊[3] WANG Lijuan;LIU Qianru;MA Tingting;QIU Weiwei;ZHANG Lei(Blood Purification Center,Bozhou Traditional Chinese Medicine Hospital,Anhui Province,Bozhou 236800,China;Blood Purification Center,Bozhou People’s Hospital,Anhui Province,Bozhou 236800,China;Department of Nephrology,First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Province,Hefei 230031,China)

机构地区：[1]安徽省亳州市中医院血液净化中心,安徽亳州236800 [2]安徽省亳州市人民医院血液净化中心,安徽亳州236800 [3]安徽中医药大学第一附属医院肾内科,安徽合肥230031

出　　处：《中国医药导报》2024年第5期156-159,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(82004165)。

摘　　要：目的探讨基于自我决定理论(SDT)的干预策略对维持性血液透析(MHD)患者血液透析知识水平、心理需要、自我效能的影响。方法选择2020年12月至2022年12月安徽省亳州市中医院收治的MHD患者100例,根据随机数字表法将其分为对照组和观察组,各50例。对照组行常规护理,观察组在对照组基础上采用基于SDT的干预策略。观察两组干预前后血液透析知识水平、心理需要满足程度及运动自我效能水平。结果干预前,两组血液透析知识水平比较,差异无统计学意义(P>0.05);干预后,两组血液透析知识水平均高于干预前,且观察组高于对照组(P<0.05)。干预前,两组基本心理需要满足量表(BPNS)、自我运动效能(ESE)量表评分比较,差异无统计学意义(P>0.05);干预后,两组BPNS、ESE量表评分均高于干预前,且观察组高于对照组(P<0.05)。结论基于SDT的干预策略能够提高患者血液透析知识水平,更好地满足MHD患者心理需要,并可改善其运动自我效能。Objective To explore the impact of self-determination theory(SDT)based intervention strategies on the level of hemodialysis knowledge,psychological needs,and self-efficacy of maintenance hemodialysis(MHD)patients.Methods A total of 100 patients with MHD admitted to Bozhou Traditional Chinese Medicine Hospital from December 2020 to December 2022 were selected,and they were divided into control group and observation group according to the random number table method,with 50 cases in each group.Control group received routine care,while observation group adopted an intervention strategy based on SDT on the basis of control group.The knowledge level on hemodialysis,psychological needs satisfaction level,and exercise self-efficacy level before and after intervene of two groups were observed.Results Before intervention,there was no significant difference in the knowledge level of hemodialysis between the two groups(P>0.05).After intervention,the knowledge level of hemodialysis in both groups was higher than before intervention,and the observation group was higher than the control group(P<0.05).Before intervention,there was no significant difference in the scores of basic psychological needs satisfaction scale(BPNS)and exercis self-exercise efficacy(ESE)between the two groups(P>0.05).After intervention,the scores of BPNS and ESE scales in both groups were higher than before intervention,and the observation group was higher than the control group(P<0.05).Conclusion Intervention strategies based on SDT can improve patients’knowledge level of hemodialysis,better meet the psychological needs of MHD patients,and improve their exercise self-efficacy.

关 键 词：自我决定理论 血液透析 心理需要 自我效能 

分 类 号：R473[医药卫生—护理学]