自我表露团体干预在腹膜透析患者照顾者中的应用价值评价  

The application value of self-disclosure group intervention in caregivers of peritoneal dialysis patients

作　　者：李秀梅[1] 张红梅[2] 李晓寒 张雅丽 郑燕[1] LI Xiu-mei;ZHANG Hong-mei;LI Xiao-han;ZHANG Ya-li;ZHENG Yan(Department of Nephrology,Henan Provincial People's Hospital,Zhengzhou 450003,China;Departmeat of Nursing,Henan Provincial People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院肾内科,郑州450003 [2]河南省人民医院护理部,郑州450003

出　　处：《中国血液净化》2024年第9期711-715,共5页Chinese Journal of Blood Purification

摘　　要：目的探讨自我表露团体干预对腹膜透析患者照顾者照顾负担、生活质量的影响。方法便利选取2022年2─5月河南省人民医院腹膜透析中心收治的符合纳入标准的90例腹膜透析患者照顾者为研究对象,干预组和对照组各45例,对照组实施常规护理,干预组在常规护理基础上予自我表露团体干预护理。采用一般资料调查表、照顾者负担量表、成人照顾者生活质量问卷评价。结果运用重复测量方差分析方法,干预组和对照组照顾者负担在组间效应、组内效应及时间与分组间的交互效应均存在统计学差异(F_(组间)=22.135,P<0.001;F_(组内)=63.601,P<0.001;F_(交互)=162.598,P<0.001);2组照顾者生活质量在组间、组内、时间与分组的交互效应差异具有统计学意义(F_(组间)=33.414,P<0.001;F_(组内)=76.329,P<0.001;F交互=46.482,P<0.001)。结论腹膜透析患者照顾者自我表露团体干预方案可减轻照顾者负担,提升照顾者生活质量,为临床医护人员提供参考。Objective To explore the effects of self-disclosure group intervention program on the care burden and quality of life of the caregivers for peritoneal dialysis(PD)patients.Methods The caregivers of 90 PD patients were selected by convenient method as the study objects.These PD patients admitted to the Peritoneal Dialysis Center of Henan Provincial People's Hospital from February to May 2022,and were equally divided into experimental group and control group.The control group received routine nursing,and the experimental group received routine nursing plus group intervention nursing based on self-disclosure.General information questionnaire,caregiver burden scale,and adult caregiver quality of life questionnaire were used.Results The repeated measure analysis of variance was used for the analyses.There were statistical differences between the experimental group and the control group in the total score of caregiver burden in the intergroup effect(F=22.135,P<0.001),the intra-group effect(F=63.601,P<0.001)and the interaction effect between time and groups(F=162.598,P<0.001).There were statistically significant differences in the total score of caregivers'quality of life between groups(F=33.414,P<0.001),within groups(F=76.329,P<0.001),and interaction effect between time and groups(F=46.482,P<0.001).Conclusion The self-disclosure group intervention program for the caregivers of PD patients can reduce the burden of the caregivers,improve the quality of life of the caregivers,and provide a valuable reference for the medical professionals.

关 键 词：腹膜透析 照顾者 自我表露 照顾负担 护理 

分 类 号：R473[医药卫生—护理学]