自我管理行为对维持性血液透析患者自我感受负担的影响研究

发布时间：2018-01-08 20:02

本文关键词：自我管理行为对维持性血液透析患者自我感受负担的影响研究　出处：《中华护理杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的调查维持性血液透析患者自我感受负担和自我管理行为的现状,并探讨自我管理行为对患者自我感受负担的影响。方法自2014年10月至2015年5月,采用自行设计的一般资料问卷、自我感受负担量表和自我管理行为量表对锦州市、大连市各2所医院血液透析室的369例患者进行问卷调查,并对调查结果进行分析。结果患者自我感受负担得分为(35.26±7.43)分,处于中度水平;患者自我管理行为得分为(52.48±10.23)分,处于中低等水平;患者自我感受负担总分与自我管理总分及各个维度呈负相关(P0.01);分层回归分析显示,自我管理行为中的伙伴关系、问题解决、执行自我护理、情绪处理是自我感受负担的重要影响因素(P0.05)。结论提示护理人员可通过提高患者自我管理行为能力,以降低其自我感受负担,改善患者生活质量。
[Abstract]:Objective to investigate the status of self-perceived burden and self-management behavior in maintenance hemodialysis patients. Methods from October 2014 to May 2015, a self-designed general information questionnaire was used. A questionnaire survey was conducted on 369 patients in hemodialysis rooms of 2 hospitals in Jinzhou city and Dalian city by self-perceived burden scale and self-management behavior scale. Results the score of self-feeling burden of the patients was 35.26 卤7.43, which was at the moderate level. The score of self-management behavior was 52.48 卤10.23, which was at the middle and low level. The total score of self-feeling burden was negatively correlated with the total score of self-management and each dimension. Hierarchical regression analysis showed that self-management behavior in partnership, problem-solving, and self-care execution. Conclusion it is suggested that nursing staff can reduce the burden of self-feeling and improve the quality of life of patients by improving their self-management ability.
【作者单位】：辽宁医学院护理学院;辽宁医学院附属第一医院护理教学部;
【分类号】：R473.5
【正文快照】： 维持性血液透析(maintenance hemodialysis,MHD)是终末期肾衰竭患者重要的替代疗法之一。在治疗过程中,主要依赖家属的照顾和支持,患者会因依赖照顾者而产生挫折感、顾虑及内疚感,这种普遍存在的担心拖累家人、成为负担的感觉称为自我感受负担[1](self-perceived burden,SPB)

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