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基于知信行模式的透析中肢体运动对患者负性情绪的影响

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目的 探讨基于知信行模式的透析中肢体运动对维持性血液透析(MHD)患者焦虑抑郁情绪、心理弹性及自我效能感的影响。方法 选取2022年5月-2023年7月在衡水市人民医院行MHD且符合纳排标准的138例患者,按患者首次来院透析次序编号后随机分为对照组69例和观察组69例,对照组采用常规透析中肢体运动,观察组在对照组的基础上采用知信行模式的肢体运动,2组干预时间均为26周,比较干预前后2组患者负性情绪、心理弹性及自我效能感的变化。结果 干预后观察组患者焦虑、抑郁得分与对照组比较差异有统计学意义,且观察组得分低于对照组(t=3。171、2。409,P<0。05),心理弹性总分及各维度得分与对照组比较差异有统计学意义,评分优于对照组(t=3。344、2。175、2。106、4。429,P<0。05),自我效能感得分(疾病共性管理除外)与对照组比较差异有统计学意义,且得分高于对照组(t=3。002、2。462,P<0。05)。结论 基于知信行模式的透析中肢体运动可缓解MHD患者的焦虑抑郁情绪,改善患者心理弹性,提高患者参与疾病治疗的自我效能感。
Effect of limb movement on negative emotions in dialysis patients based on knowledge-attitude-practice model
Objective To explore the effects of limb movement on anxiety and depression,mental resilience,and self-efficacy in maintenance hemodialysis(MHD)patients based on the knowledge-attitude-practice model.Methods A total of 138 patients who received MHD and met the criteria of intake and drainage in Hengshui People's Hospital from May 2021 to July 2022 were selected,and they were randomly divided into control group(68 cases)and obser-vation group(70 cases)according to the sequence of patients first coming to the hospital for dialysis.The control group received routine exercise intervention in dialysis,and the observation group was treated with the exercise in-tervention based on the knowledge,belief and action mode on the basis of the control group.The intervention lasted for 24 weeks between both groups,and the changes of negative emotion,mental resilience,and self-efficacy were compared between the two groups before and after the intervention.Results After intervention,the scores of anxiety and depression in the observation group were significantly different from those in the control group,and the scores in the observation group were lower than those in the control group(t=3.171,2.409;P<0.05),and the total scores of mental resilience and its dimensions were significantly different from those in the control group.The score was better than that of the control group(t=3.344,2.175,2.106,4.429;P<0.05),and the self-efficacy score(except general disease management)was significantly higher than that of the control group,and the differences were significant(t=3.002,2.462,P<0.05).Conclusion Exercise intervention based on the knowledge-attitude-practice mode can relieve anxiety and depression in MHD patients,improve their mental resilience,and enhance their sense of self-efficacy in disease treatment.

knowledge-attitude-practice modemaintenance hemodialysisnegative emotionmental resili-enceself-efficacy

李玉翠、童莉、李杨、成沛玉

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衡水市人民医院,河北衡水 053000

衡水健康科技职业学院,河北衡水 053000

衡水卫生学校,河北衡水 053000

枣强县人民医院,河北枣强 053100

湘潭市中心医院,湖南湘潭 411100

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知信行模式 维持性血液透析 负性情绪 心理弹性 自我效能

河北省衡水市科技局重点研究项目

2019014051Z

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(1)
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