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基于计划行为理论的优质护理服务对慢性肾衰竭血液透析患者心境障碍及应对方式的影响
赵 红      尹建华      徐莉莉      杨静
安徽省合肥市第一人民医院肾内科,安徽合肥   230061
Influence of quality nursing service based on planned behavior theory on mood disorder and coping style of chronic renal failure hemodialysis patients#br#
ZHAO Hong   YIN Jianhua   XU Lili   YANG Jing
Department of Nephrology, Hefei First People’s Hospital, Anhui Province, Hefei   230061, China
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摘要 目的 探究基于计划行为理论的优质护理服务对慢性肾衰竭血液透析患者心境障碍及应对方式的影响。方法 选取安徽省合肥市第一人民医院2017年1月至2020年1月收治的100例慢性肾衰竭血液透析患者作为研究对象,依据随机数字表法将其分为对照组和观察组,每组各50例。对照组予以常规护理干预,观察组予以基于计划行为理论的优质护理服务。比较两组护理前后负性情绪、自我感受负担、应对方式、自我管理行为,生活质量评分及并发症总发生率。 结果 护理后,两组焦虑、抑郁评分均低于护理前,且观察组低于对照组(P < 0.05);两组自我感受负担各维度及总评分均低于护理前,且观察组低于对照组(P < 0.05);两组应对方式评分中面对评分高于护理前,回避、屈服评分低于护理前,且观察组面对评分高于对照组,回避、屈服评分低于对照组(P < 0.05);两组自我管理行为各维度及总评分均高于护理前,且观察组高于对照组(P < 0.05);两组并发症总发生率比较,差异无统计学意义(P > 0.05)。两组生活质量评分均高于护理前,且观察组高于对照组(P < 0.05)。 结论 基于计划行为理论的优质护理服务应用于慢性肾衰竭血液透析患者中,可解除患者心境障碍,缓解自我感受负担,改善应对方式,提高自我管理行为,且对降低并发症发生具有积极意义,提高患者生活质量。
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赵 红 尹建华 徐莉莉 杨静
关键词 慢性肾衰竭血液透析计划行为理论优质护理服务心境障碍应对方式    
Abstract:Objective To explore the impact of quality nursing services based on planned behavior theory on mood disorders and coping styles in patients with chronic renal failure hemodialysis. Methods A total of 100 cases of chronic renal failure hemodialysis patients admitted in Hefei First People’s Hospital  from January 2017 to January 2020 were selected as the research objects, according to random number table method, they were divided into control group and observation group, with 50 cases in each group. The control group was given routine nursing intervention, and the observation group was given high-quality nursing services based on the planned behavior theory. The negative emotions, self-experience burden, coping style, self-management behavior and quality of life scores before and incidence of complications after nursing in the two groups were compared. Results After nursing, the scores of anxiety and depression in the two groups were lower than before nursing, and the observation group was lower than the control group (P < 0.05); all dimensions and total score of self-perceived burden in both groups were lower than before nursing, and the observation group was lower than the control group (P < 0.05); the coping style score of the two groups was higher than before nursing, and the score of avoidance and yield was lower than before nursing, and the score of the observation group was higher than the control group, and the score of avoidance and yield was lower than the control group (P < 0.05); the dimensions and total score of self-management behavior in both groups were higher than before nursing, and the observation group was higher than the control group (P < 0.05); quality of life scores of both groups were higher than before nursing, and the observation group was higher than the control group (P < 0.05). There was no significant difference in the incidence of complications between the two groups (P > 0.05). Conclusion The high-quality nursing service based on the planned behavior theory is applied to patients with chronic renal failure hemodialysis, which can relieve patients’ mood disorders, ease the burden of self-feeling, and improve coping styles, improve self-management behavior, and have a positive significance in reducing the occurrence of complications and improve the quality of life of patients.
Key wordsChronic renal failure    Hemodialysis    Planned behavior theory    Quality nursing services    Mood disorder    Coping style
    
基金资助:安徽省教育厅高校科学研究项目(KJ2020A02 19)。
引用本文:   
赵 红 尹建华 徐莉莉 杨静. 基于计划行为理论的优质护理服务对慢性肾衰竭血液透析患者心境障碍及应对方式的影响[J]. 中国医药导报, 2022, 19(10): 171-176.
ZHAO Hong YIN Jianhua XU Lili YANG Jing. Influence of quality nursing service based on planned behavior theory on mood disorder and coping style of chronic renal failure hemodialysis patients#br#. 中国医药导报, 2022, 19(10): 171-176.
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https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2022/V19/I10/171

 

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