“双线制”叙事护理干预在维持性血液透析患者中的应用效果评价  

Evaluation of the Effect of “Two-Line” Narrative Nursing Intervention in Maintenance Hemodialysis Patients

作　　者：武舒燕 张沛哲 郭翠梅[2] 金瑞华 

机构地区：[1]山西工商学院护理学院,山西 太原 [2]山西医科大学护理学院,山西 太原

出　　处：《临床个性化医学》2024年第4期1394-1402,共9页Journal of Clinical Personalized Medicine

基　　金：大学生积极心理品质培育的路径与机制研究,省级项目(编号2021zsszsx032)。

摘　　要：目的:基于“双线制”实践流程制定叙事护理方案,并将其运用于维持性血液透析患者,探讨其对维持性血液透析患者负性情绪、自我效能和生活质量的影响,以期为其他疾病叙事护理方案提供可借鉴的经验。方法:采用便利抽样法,选取2022年6月至2022年10月我院符合标准的82例MHD患者,采用随机数字表法将其随机分为对照组(41例)和干预组(41例)。对照组采取常规护理措施,干预组在常规护理基础上给予叙事护理干预,评估其干预效果。结果:干预后,干预组焦虑、抑郁得分低于干预前,自我效能、生活质量得分均高于干预前,差异具有统计学意义(P Objective: Based on the “two-line system” practice process, narrative nursing plan was developed and applied to maintenance hemodialysis patients, and its influence on negative emotions, self-efficacy and quality of life of maintenance hemodialysis patients was discussed, in order to provide reference experience for other diseases narrative nursing plan. Methods: Using convenience sampling method, 82 MHD patients from June 2022 to October 2022 were randomly divided into control group (41 cases) and intervention group (41 cases) by random number table method. The control group took the usual nursing measures, and the intervention group gave the narrative nursing intervention on the basis of usual care to evaluate its intervention effect. Results: After intervention, the scores of anxiety and depression in the intervention group were lower than before intervention, and the scores of self-efficacy and quality of life were higher than before intervention;the difference was statistically significant (P < 0.05). Conclusion: Narrative nursing intervention for MHD patients is beneficial to improve patients’ anxiety and depression, improve patients’ self-efficacy and improve their quality of life.

关 键 词：叙事护理 维持性血液透析 负性情绪 自我效能 生活质量 

分 类 号：R47[医药卫生—护理学]