互惠式小组工作的自我管理干预改善血透患者自护能力及睡眠的研究

Study on the Effect of Reciprocal Group Self-management Intervention on Improving Self-care Ability and Sleep in Hemodialysis Patients

易海林 ¹陈金霄¹

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作者信息

1. 福建省厦门莲花医院血透室,厦门,361000
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摘要

目的:观察血透患者开展互惠式小组工作的自我管理干预价值.方法:选取2022年11月至2023年11月厦门莲花医院收治的血透患者80例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组40例.对照组开展常规护理,观察组开展互惠式小组工作的自我管理干预.评估2组睡眠质量、自护能力、负性心理.结果:相比对照组,干预后观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)、Epworth嗜睡量表(ESS)、失眠严重程度指数(ISI-C)、匹兹堡睡眠质量指数量表(PSQI)下降;自我护理能力测定量表(ESCA)提高(P＜0.05).结论:血透患者开展互惠式小组工作的自我管理干预可缓解日间嗜睡与失眠症状,改善睡眠质量,缓解负性心理,提高自护能力.

Abstract

Objective:To observe the value of reciprocal group self-management intervention in hemodialysis patients.Methods:A total of 80 hemodialysis patients treated at Xiamen Lotus Hospital from November 2022 to November 2023 were selected as re-search subjects.They were randomly divided into a control group(n=40),receiving routine nursing care,and an observation group(n=40),receiving reciprocal group self-management intervention.Sleep quality,self-care ability,and negative psychological states were assessed in both groups.Results:After the intervention,the observation group showed significant reductions in scores on the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Epworth Sleepiness Scale(ESS),Insomnia Severity Index(ISI-C),and Pittsburgh Sleep Quality Index(PSQI)compared to the control group.The observation group also showed an improvement in the Self-care Ability Scale(ESCA)(P＜0.05).Conclusion:Reciprocal group self-management intervention in hemodialysis patients can alleviate daytime sleepiness and insomnia,improve sleep quality,relieve negative psychological states,and enhance self-care ability.

关键词

血透/互惠式小组工作/自我管理干预/自护能力/焦虑/抑郁/睡眠质量/嗜睡

Key words

Hemodialysis/Reciprocal group work/Self-management intervention/Self-care ability/Anxiety/Depression/Sleep quality/Sleepiness

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出版年

2024

世界睡眠医学杂志

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