基于知信行理论的护理干预结合自我表露训练对糖尿病肾病血液透析患者心理负担及知信行的影响  

Influences of nursing intervention based on knowledge-attitude-practice theory combined with self-disclosure training on psychological burden and knowledge-attitude-practice of hemodialysis patients with diabetic kidney disease

作　　者：卢媛 王莺 李丹 朱海慧 LU Yuan;WANG Ying;LI Dan;ZHU Haihui(Xianyang Central Hospital,Xianyang 712000;Shaanxi Provincial Hospital of Chinese Medicine,Xi'an 710001,China)

机构地区：[1]咸阳市中心医院,陕西咸阳712000 [2]陕西省中医医院,陕西西安710001

出　　处：《临床医学研究与实践》2025年第1期115-118,共4页Clinical Research and Practice

基　　金：陕西省中医药管理局科研课题(No.2019-ZZ-LC003)。

摘　　要：目的 探讨基于知信行理论的护理干预结合自我表露训练在糖尿病肾病血液透析患者中的应用效果。方法 选取2019年5月至2022年5月收治的120例糖尿病肾病血液透析患者为研究对象,随机将其分对照组和观察组,各60例。对照组予以常规护理,观察组予以基于知信行理论的护理干预结合自我表露训练。比较两组的干预效果。结果 干预后,观察组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分低于对照组(P<0.05)。干预后,观察组的疾病认知、健康信念及健康行为评分高于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、糖化血红蛋白(HbA1c)、血肌酐(Scr)及尿素氮(BUN)水平低于对照组(P<0.05)。结论 基于知信行理论的护理干预结合自我表露训练可减轻糖尿病肾病血液透析患者的心理负担,提升知信行水平,提高血糖控制效果和透析效果。Objective To explore the application effect of nursing intervention based on knowledge-attitude-practice theory combined with self-disclosure training in hemodialysis patients with diabetic kidney disease.Methods A total of 120 hemodialysis patients with diabetic kidney disease admitted from May 2019 to May 2022 were selected as the research objects,the patients were randomly divided into control group and observation group,with 60 cases in each group.The control group was given routine nursing,and the observation group was given nursing intervention based on knowledge-attitude-practice theory combined with self-disclosure training.The intervention effects of the two groups were compared.Results After intervention,the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of disease cognition,health belief and health behavior in the observation group were higher than those in the control group(P<0.05).After intervention,the levels of fasting blood glucose(FBG),glycosylated hemoglobin(HbA1c),serum creatinine(Scr)and blood urea nitrogen(BUN)in the observation group were lower than those in the control group(P<0.05).Conclusion Nursing intervention based on knowledge-attitude-practice theory combined with self-disclosure training can reduce the psychological burden of hemodialysis patients with diabetic kidney disease,improve the level of knowledge-attitude-practice,and elevate blood glucose control effect and dialysis effect.

关 键 词：知信行理论 自我表露训练 糖尿病肾病 

分 类 号：R473.5[医药卫生—护理学]