Impact of intervention strategies based on self-determination theory on hemodialysis knowledge level,psychological needs,and self-efficacy of maintenance hemodialysis patients
Objective To explore the impact of self-determination theory(SDT)based intervention strategies on the level of hemodialysis knowledge,psychological needs,and self-efficacy of maintenance hemodialysis(MHD)patients.Methods A total of 100 patients with MHD admitted to Bozhou Traditional Chinese Medicine Hospital from December 2020 to December 2022 were selected,and they were divided into control group and observation group according to the random number table method,with 50 cases in each group.Control group received routine care,while observation group adopted an intervention strategy based on SDT on the basis of control group.The knowledge level on hemodialysis,psychological needs satisfaction level,and exercise self-efficacy level before and after intervene of two groups were observed.Results Before intervention,there was no significant difference in the knowledge level of hemodialysis between the two groups(P>0.05).After intervention,the knowledge level of hemodialysis in both groups was higher than before intervention,and the observation group was higher than the control group(P<0.05).Before intervention,there was no significant difference in the scores of basic psychological needs satisfaction scale(BPNS)and exercis self-exercise efficacy(ESE)between the two groups(P>0.05).After intervention,the scores of BPNS and ESE scales in both groups were higher than before intervention,and the observation group was higher than the control group(P<0.05).Conclusion Intervention strategies based on SDT can improve patients'knowledge level of hemodialysis,better meet the psychological needs of MHD patients,and improve their exercise self-efficacy.