基于理性/计划行为理论的家属参与式护理对维持性血液透析患者自我管理行为和自我感受负担的影响  

Influence of family participation nursing based on rational/planned behavior theory on self-management behaviors and self-perceived burden in patients with maintenance hemodialysis

作　　者：张存存 吴琳琳 孙宁[1] Zhang Cuncun;Wu Linlin;Sun Ning(Blood Purification Center,Xuzhou No.1 People's Hospital,Xuzhou 221000,China)

机构地区：[1]徐州市第一人民医院血液净化中心,徐州221000

出　　处：《国际护理学杂志》2025年第4期602-607,共6页international journal of nursing

摘　　要：目的探究基于理性/计划行为理论的家属参与式护理对维持性血液透析患者自我管理行为和自我感受负担的影响。方法将于2022年1月至2023年12月期间在徐州市第一人民医院进行维持性血液透析的101例患者作为研究对象,采用随机数字表法分为常规组(n=50)和实验组(n=51)。常规组患者采用常规优质护理干预,实验组患者采用基于理性/计划行为理论的家属参与式护理。比较两组患者干预前及干预3个月后的自我管理行为、自我感受负担、血钙及血磷水平及生活质量。结果干预前,两组患者自我管理量表及自我感觉负担量表(SPBS)各维度得分比较差异无统计学意义(P>0.05),干预后,实验组患者的自我管理量表各维度得分均高于常规组,SPBS各维度得分均低于常规组,差异有统计学意义(P<0.05)。干预前,两组患者血钙、血磷水平比较差异无统计学意义(P>0.05),干预后,实验组患者的血钙水平高于常规组,血磷水平低于常规组,差异有统计学意义(P<0.05)。干预前,两组患者生活质量测定量表简表(WHQOL-BREF)各维度得分比较差异无统计学意义(P>0.05),干预后,实验组患者的WHQOL-BRFF得分高于常规组,差异有统计学意义(P<0.05)。结论基于理性/计划行为理论的家属参与式护理能够有效改善维持性血液透析患者自我管理行为,缓解患者自我感受负担,维持钙磷代谢平衡,提高患者生活质量。Objective To explore the influence of family participation nursing based on rational/planned behavior theory on self-management behaviors and self-perceived burden of maintenance hemodialysis patients.Methods A total of 101 patients undergoing maintenance hemodialysis in Xuzhou No.1 People's Hospital from January 2022 to December 2023 were divided into the conventional group(n=50)and the experimental group(n=51)by random number table method.Patients in the conventional group received conventional high-quality nursing intervention,while patients in the experimental group were given family participation nursing based on rational/planned behavior theory.The self-management behaviors,self-perceived burden,serum calcium and serum phosphorus levels,and quality of life were compared before intervention and 3 months after intervention.Results Before intervention,there were no significant differences in the scores of self-management scale and Self-Perceived Burden Scale(SPBS)between the two groups(P>0.05).After intervention,the scores of each dimension of the self-management scale in the experimental group of patients were higher than those in the conventional group,while the scores of each dimension of the SPBS were lower than those in the conventional group,and the differences were statistically significant(P<0.05).Before intervention,there were no significally significant differences in serum calcium and phosphorus levels between the two groups of patients(P>0.05).After intervention,the serum calcium level of the experimental group was higher than that of the conventional group,and the blood phosphorus level of the experimental group was lower than that of the conventional group,and the differences were statistically significant(P<0.05).Before intervention,there were no statistically significant difference in the scores of each dimension of the World Health Organization Quality of Life Brief Scale(WHQOL-BREF)between the two groups(P>0.05).After intervention,the WHQOL-BRFF score of the experimental group was higher than

关 键 词：维持性血液透析 理性/计划行为理论 自我管理行为 自我感受负担 

分 类 号：R47[医药卫生—护理学]