以家庭为中心的智谋训练在腹膜透析患者中的应用研究  

Application of family-centered resourcefulness training in peritoneal dialysis patients

作　　者：李秀梅[1] 张红梅[1] 李晓寒 张雅丽 武园园 LI Xiumei;ZHANG Hongmei;LI Xiaohan;ZHANG Yali;WU Yuanyuan

机构地区：[1]河南省人民医院,郑州市450001

出　　处：《中华护理教育》2024年第3期261-268,共8页Chinese Journal of Nursing Education

基　　金：河南省医学科技攻关计划项目(LHGJ20200042)。

摘　　要：目的探讨以家庭为中心的智谋训练在腹膜透析患者中的应用效果。方法在构建以家庭为中心的腹膜透析患者智谋训练方案的基础上,2021年1月—12月选取固定在本院肾内科接受随访的106例腹膜透析患者作为研究对象,采用随机数字表法将其分为对照组(n=53)和试验组(n=53)。对照组实施常规护理,试验组给予常规护理结合以家庭为中心的智谋训练,比较干预前、干预8周后两组智谋、疾病进展恐惧、腹膜透析病耻感水平。结果干预8周后,试验组智谋总分为(85.17±16.48)分,高于对照组的(73.87±18.45)分(P<0.05);试验组疾病进展恐惧总分为(33.85±4.72)分,低于对照组的(37.15±5.36)分(P<0.05);试验组病耻感总分为(56.87±16.66)分,低于对照组的(64.09±16.65)分(P<0.05)。结论以家庭为中心的智谋训练能有效提高腹膜透析患者的智谋水平,降低其疾病进展恐惧与病耻感水平。Objective To explore the effect of family-centered resourcefulness training in peritoneal dialysis patients.Methods Based on the construction of a family-centered resourcefulness training intervention program,a total of 106 patients recevied fixed follow-up in the Department of Nephrology in our hospital were selected by convenience sampling from January to December 2021.Participants were divided into control group and experimental group by random number table method,with 53 patients in each group.The control group got routine nursing care,while the experimental group got routine nursing combined with family-centered resourcefulness training intervention.The levels of resourcefulness,fear of disease progression,and peritoneal dialysis stigma were compared before and after intervention between the two groups.Results After the eight-week of intervention,the total score of resourcefulness in the experimental group was(85.17±16.48),which was higher than that of the control group(73.87±18.45),and the difference was statistically significant(P<0.05).Besides,the total score of fear of disease progression in the experimental group was(33.85±4.72),which was lower than that of the control group(37.15±5.36),and the difference was statistically significant(P<0.05).In addition,the total score of stigma in the experimental group was(56.87±16.66),which was lower than that of the control group(64.09±16.65),and the difference was statistically significant(P<0.05).Conclusion The family-centered resourcefulness training can effectively improve the resourcefulness level of patients with peritoneal dialysis,and reduce the level of fear of disease progression and peritoneal dialysis stigma.

关 键 词：腹膜透析 智谋训练 疾病进展恐惧 病耻感 家庭干预 

分 类 号：R473.5[医药卫生—护理学]