Heider平衡理论干预对血液透析患者心理负担和健康行为的影响OA
Influence of intervention on psychological burden and health behavior of hemodialysis patients based on Heider balance theory
目的:探讨基于Heider平衡理论干预对血液透析患者心理负担和健康行为的影响.方法:选取2020年8月-2022年10月某院收治的180例血液透析患者为研究对象,按照入院先后分为对照组和研究组,每组各90例;对照组采取常规干预,研究组采取Heider平衡理论干预.对比两组患者干预前后健康行为[健康促进生活方式量表Ⅱ(HPLP-Ⅱ)]、心理负担[症状自评量表(SCL-90)]、自我管理能力、生活质量[健康调查简表(SF-36)]和干预质量.结果:干预后,两组HPLP-Ⅱ量表人际关系、运动锻炼、自我实现、压力管理、健康责任、营养各维度得分及总分均高于干预前(P＜0.05),且研究组均高于对照组(t=3.557,4.430,3.695,3.250,3.060,3.388,8.774;P＜0.05);干预后,两组SCL-90量表中抑郁、焦虑、躯体化、强迫、人际关系敏感、敌对、恐怖、偏执、精神病性和其他维度评分均下降(P＜0.05),且研究组均低于对照组(t=-11.156,-10.197,-6.780,-6.016,-6.378,-5.941,-3.125,-9.000,-4.633,-5.778;P＜0.05);干预后,两组自我管理能力量表中饮食、运动、药物、内瘘护理、体质量控制、规律透析各维度得分及总分均高于干预前(P＜0.05),且研究组均高于对照组(t=8.249,2.147,9.198,8.106,13.697,10.142,21.536;P＜0.05);干预后,两组社交功能、角色功能、情感功能和躯体症状及量表总分均升高(P＜0.05),且研究组均高于对照组(t=4.956,8.523,4.907,6.191,11.964;P＜0.05);实验组专业技能、沟通能力、病区管理、护理主动性及服务态度得分均高于对照组(t=2.309,2.975,2.522,2.659,3.629;P＜0.05).结论:对血液透析患者给予Heider平衡理论干预效果显著,可减轻患者心理负担,改善患者健康行为,还可提高患者自我管理能力、生活质量,提升干预质量.
Objective:To explore the influence of intervention on psychological burden and health behavior of hemo-dialysis patients based on Heider balance theory.Methods:A total of 180 hemodialysis patients admitted to our hospi-tal from August 2020-October 2022 were enrolled in this study,the patients were divided into control group and study group according to admission order,90 cases in each group.The control group received routine intervention,while the study group received Heider balance theory intervention.Results:The health behavior(HPLP-Ⅱ),psycho-logical burden(SCL-90),The scores of compulsion,interpersonal sensitivity,hostility,terror,paranoia,psychosis and other dimensions were all decreased(P＜0.05).The study group were lower than the control group(t=-11.156,-10.197,-6.780,-6.016,-6.378,-5.941,-3.125,-9.000,-4.633,-5.778;P＜0.05),and the scores of study group were higher than those of control group(t=3.557,4.430,3.695,3.250,3.060,3.388,8.774;P＜0.05).After the interven-tion,the scores of depression,anxiety and somatization in SCL-90 of the two groups decreased(P＜0.05),and the scores in the study group were lower than those in the control group(t=-8.801,-4.759,-8.559;P＜0.05).After the intervention,the scores of diet,exercise,medicine,fistula nursing,body weight control and regular dialysis in the self-management ability scale were higher than those before the intervention(P＜0.05),and the scores in the study group were higher than those in the control group(t=8.249,2.147,9.198,8.106,13.697,10.142,21.536;P＜0.05).After the intervention,the social function,role function,emotional function,somatic symptoms and the total scores of the scale were increased in both groups(P＜0.05),and the study group was higher than the control group(t=4.956,8.523,4.907,6.191,11.964;P＜0.05).The scores of professional skills,communication ability,ward management,nursing initiative and service attitude in the experimental group were higher than those in the control group(t=2.309,2.975,2.522,2.659,3.629;P＜0.05).Conclusion:Heider balance theory intervention for hemodialysis patients has significant effect,which can reduce the psychological burden of patients,improve the health behavior of patients,but also can improve the self-management ability of patients,quality of life,and enhance the quality of intervention.
王杨;邹霜;李莉娟;陈武
湖北文理学院附属医院,襄阳市中心医院血液透析 441000国药东风总医院神经内科
基础医学
Heider平衡理论血液透析心理负担健康行为生活质量
Heider equilibrium theoryHemodialysisPsychological burdenHealth behaviorQuality of life
《中国健康心理学杂志》 2024 (004)
525-531 / 7
湖北省自然科学基金(编号:232400410433)
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