疾病感知护理模式对血液透析慢性肾衰竭患者疾病感知、心理弹性、自我管理及依从性的影响  

Effect of illness perception nursing model on illness perception,psychological resilience,self-management and compliance in hemodialysis patients with chronic renal failure

作　　者：苏碧莲 兰丽华[1] 柯瑜婷[1] SU Bilian;LAN Lihua;KE Yuting(Blood Purification Center,Jinjiang Hospital,Fujian Hospital of Shanghai Sixth People's Hospital,Fujian Province,Jinjiang362200,China)

机构地区：[1]福建省晋江市医院,上海市第六人民医院福建医院血液净化中心,福建晋江362200

出　　处：《中国当代医药》2025年第5期157-161,共5页China Modern Medicine

摘　　要：目的探讨疾病感知护理模式对血液透析的慢性肾衰竭患者疾病感知、心理弹性、自我管理及依从性的影响。方法选取2021年1月至2023年1月晋江市医院收治的102例慢性肾衰竭患者作为研究对象,按照随机数字表法分为试验组(n=51)和对照组(n=51)。对照组行常规护理模式,试验组在常规护理模式上同时行疾病感知护理模式。比较两组患者的各项临床评分[简易疾病感知问卷(BIPQ)、Connor-Davidson心理弹性量表(CD-RISC)、慢性肾脏病自我管理量表(CKD-SE)]、疾病应对方式、血液透析依从性、护理满意度。结果护理后,试验组的BIPQ、CD-RISC评分均低于对照组,CKD-SE评分高于对照组,差异有统计学意义(P<0.05)。护理后,试验组的面对维度评分高于对照组,回避、屈服维度评分均低于对照组,差异有统计学意义(P<0.05)。护理后,试验组的饮食、液体、用药、方案依从性维度评分与总依从性评分均高于对照组,差异有统计学意义(P<0.05)。试验组的总满意度高于对照组,差异有统计学意义(P<0.05)。结论疾病感知护理模式在慢性肾衰竭患者中的应用可提高患者疾病认知水平与心理弹性,对改善患者自我管理水平与血液透析依从性均有积极效果,患者护理满意度较高。Objective To explore the effect of illness perception nursing model on illness perception,psychological resilience,self-management and compliance in hemodialysis patients with chronic renal failure.Methods A total of 102 patients with chronic renal failure admitted to Jinjiang Hospital from January 2021 to January 2023 were selected as the research objects.According to the random number table method,they were divided into experimental group(n=51)and control group(n=51).Patients in the control group received routine nursing,while patients in the experimental group received illness perception nursing model on the basis of routine nursing.The clinical scores(brief illness perception questionnaire[BIPQ],Connor-Davidson resilience scale[CD-RISC],chronic kidney disease self-efficacy[CKD-SE]),disease coping style,hemodialysis compliance and nursing satisfaction were compared between the two groups.Results After nursing,the BIPQ and CD-RISC scores of the experimental group were lower than those of the control group,and the CKD-SE score was higher than that of the control group,and the differences were statistically significant(P<0.05).After nursing,the face dimension score of the experimental group was higher than that of the control group,and the avoidance and yield dimension scores were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of diet,fluid,medication,program compliance dimension and total compliance score of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total satisfaction of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of illness perception nursing model in patients with chronic renal failure can improve the disease cognition and psychological resilience of patients,and has a positive effect on improving the self-management level and hemodialysis complia

关 键 词：慢性肾衰竭 血液透析 疾病感知护理 心理弹性 自我管理 血液透析依从性 

分 类 号：R459.5[医药卫生—治疗学] R473.6[医药卫生—临床医学]