首页|基于赋权理论的自我管理模式在腹膜透析患者中的构建与应用

基于赋权理论的自我管理模式在腹膜透析患者中的构建与应用

Construction and application of self-management model based on empowerment theory in peritoneal dialysis patients

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目的 将基于赋权理论的自我管理模式应用于腹膜透析患者中,提高患者自我管理能力,改善预后.方法 医院腹透中心规律随访的 120 例患者随机分为对照组及观察组各 60 例,分别接受常规管理模式和基于赋权理论的自我管理模式;观察并比较两组患者干预前后的自我效能、容量管理水平及容量负荷相关指标.结果 干预前,对照组和观察者的一般自我效能感量表(GSES)评分为(17.55±2.18)分、(17.20±2.22)分.干预后,两组患者GSES评分均随时间的推移而升高,容量管理表的 2 个维度评分均高于干预前,且观察组同期评分均高于对照组,差异均有统计学意义(P<0.05).干预后,观察组收缩压、舒张压及体质量均低于对照组,24 h尿量高于对照组,差异均有统计学意义(P<0.05);干预后两组 24h超滤量差异无统计学意义(P>0.05).结论 基于赋权理论的自我管理模式可提高腹膜透析患者的自我管理水平,改善容量负荷.
Objective To apply the self-management model based on empowerment theory to peritoneal dialysis patients to improve their self-management ability and prognosis.Methods A total of 120 patients with regular follow-up at our hospital's peritoneal dialysis center were randomly assigned to either a control group or an observation group,with 60 patients in each group.The control group received routine management,while the observation group received self-management based on empowerment theory.We observed and compared the self-efficacy,capacity management level,and capacity load related indicators of both groups before and after the intervention.Results Before intervention,the general self-efficacy scale(GSES)scores of the control group and the observer were(17.55±2.18)points and(17.20±2.22)points.After intervention,the GSES scores of the two groups increased with time,the scores of the two dimensions of the capacity management table were higher than those before intervention,and the scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the systolic blood pressure,diastolic blood pressure and body weight of the observation group were lower than those of the control group,and the 24 h urine volume was higher than that of the control group,the differences were statistically significant(P<0.05).There was no significant difference in 24 h ultrafiltration volume between the two groups after intervention(P>0.05).Conclusions The self-management model based on empowerment theory can improve the self-management level of peritoneal dialysis patients and improve the capacity load.

self-management modelempowermentperitoneal dialysisself-efficacycapacity management

刘燕、赵媛、沈洁、汪芸

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桐庐县第一人民医院 肾内科,浙江 桐庐 311500

自我管理模式 赋权 腹膜透析 自我效能 容量管理水平

桐庐县社会发展科技项目

2022SYD006

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(1)
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