首页|护理干预对慢性肾衰竭血液透析患者的影响

护理干预对慢性肾衰竭血液透析患者的影响

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目的 探讨计划行为理论指导下的护理干预对慢性肾衰竭血液透析治疗患者心理弹性及应对方式的影响.方法 2021年1月-2022年6月,选取96例实施维持性血液透析治疗的慢性肾衰竭患者进行临床研究,通过随机抽签法将患者分组,对照组与观察组各有48例患者.对照组实施常规指导下的护理干预,观察组实施计划行为理论指导下的护理干预,比较两组心理弹性评分(坚韧、力量、乐观性)与应对方式评分(面对、屈服、回避).结果 比较指标是三项心理弹性评分时,护理干预后的比值可见差异,显示观察组高(P＜0.05);比较指标是三项应对方式评分时,护理干预后的比值可见差异,显示观察组面对评分高、屈服评分低、回避评分低(P＜0.05).结论 慢性肾衰竭血液透析治疗期间应用计划行为理论指导下的护理干预,可提高心理弹性,改善应对方式,值得临床推广普及.
Effect of nursing intervention on hemodialysis patients with chronic renal failure
Objective To explore the influence of nursing intervention under the guidance of planned behavior theory on the psy-chological resilience and coping style of patients on hemodialysis treatment for chronic renal failure.Methods From January 2021 to June 2022,96 patients with chronic renal failure undergoing maintenance hemodialysis were selected for clinical study.The patients were grouped by random lottery,with 48 patients in the control group and the observation group.The control group implemented the nursing intervention under the routine guidance,and the observation group implemented the nursing intervention under the guidance of the planned behavior theory.Compared the two groups'psychological resilience score(tenacity,strength,optimism)and the coping style score(face,surrender,and avoidance).Results When the comparison index was three psychological resilience scores,in the dif-ference of nursing intervention,high in the observation group(P＜0.05).When the comparison index was three coping style scores,the ratio after nursing intervention was different,indicating that the observation group had high face score,low yield score and low avoidance score(P＜0.05).Conclusion Nursing intervention under the guidance of planned behavior theory during hemodialysis treatment of chronic renal failure can improve psychological resilience and improve coping methods,which is worthy of clinical popularization.

Chronic renal failureHemodialysisNursing intervention under the guidance of planned behavior theoryNursing in-tervention under routine guidancePsychological resilienceAnd coping style

王丹丹、时翠勤

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驻马店市中心医院血液净化室,河南驻马店 463000

慢性肾衰竭 血液透析 计划行为理论指导下的护理干预 常规指导下的护理干预 心理弹性 应对方式

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子：0.385
ISSN：1001-5183
年,卷(期)：2024.54(2)
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