生态系统理论在尿毒症患者互助小组中的应用研究

发布时间：2018-02-26 16:23

本文关键词： 生态系统理论尿毒症患者小组工作实务研究　出处：《西南石油大学》2017年硕士论文　论文类型：学位论文

【摘要】：我国尿毒症患者正日益增加,疾病不仅给患者造成身体的痛苦,给其家庭造成极大的经济负担,也给患者及家属造成沉重的心理压力,影响到患者的生理-心理-社会系统。生态系统理论认为,个人生活的环境是个完整的生态系统,强调把人放在环境中考察,关注个人与环境的互动。本文以X区中医院尿毒症患者互助小组为例,运用生态系统理论,从患者的个人心理、信念等微观系统、患者的家庭、病友、医护人员等中观系统和社会政策、社区等宏观系统三个层面进行问题分析和需求评估,并制定、实施相应的介入计划协助患者解决问题。本研究中,社会工作者以构建病友互助交流平台为介入点,以促进尿毒症患者个人、家庭、病友支持系统的完善为介入目标,采用定量与定性相结合的研究方法对尿毒症患者互助小组的介入成效进行了评估,探索了生态系统理论指导下的小组工作模式对提高尿毒症患者社会支持的作用。研究发现,以生态系统理论为指导,小组工作对于增强尿毒症患者的社会支持具有明显的成效——小组成员的社会支持量表(包括主观支持、客观支持和对支持的利用度)得分都有较大的提高,互助小组服务的模式和内容、工作成效得到了服务对象、医院的肯定。由于经验不足及水平的原因,本研究也必然存在一些欠缺之处,对此笔者也进行了反思总结。
[Abstract]:The number of uremic patients in our country is increasing day by day. The disease not only causes the patients' physical pain and great economic burden to their families, but also causes heavy psychological pressure to the patients and their families. Affecting patients' physiological, psychological and social systems. Ecosystem theory holds that the environment in which individuals live is a complete ecosystem, and emphasizes the consideration of human beings in the environment. This article takes the mutual help group of uremic patients in district X district Chinese medicine hospital as an example, using ecosystem theory, from the microcosmic system of individual psychology, belief and so on, the patient's family, the patient's friend, the patient's family, the patient's friend, the patient's family, the patient's family, the patient's friend. In this study, three levels of problem analysis and needs assessment are carried out, such as medical staff and social policy, and macro-system, such as community, and the corresponding intervention plan is formulated and implemented to help patients solve problems. Social workers take the establishment of a mutual communication platform for patients as the intervention point, in order to promote the improvement of the individual, family and patient support system of patients with uremia as the intervention goal. Quantitative and qualitative methods were used to evaluate the effectiveness of the intervention of uremic patients' mutual aid group, and the role of group work model under the guidance of ecosystem theory in improving social support for uremic patients was explored. Guided by ecosystem theory, group work was effective in enhancing social support for uremic patients-the social support scale for group members (including subjective support). Objective support and utilization of support) scores have been greatly improved, mutual assistance group service model and content, work results have been confirmed by the target, hospital. Because of lack of experience and level of reasons, There must be some deficiencies in this study, and the author also reflects on it.
【学位授予单位】：西南石油大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R692.5;C916

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