内科2025，Vol.20Issue(3)：280-283,4.DOI:10.16121/j.cnki.cn45-1347/r.2025.03.10
基于Swanson关怀理论的护理模式对维持性血液透析患者应对方式及自我感受负担的影响
Impacts of nursing pattern based on Swanson's Theory of Caring on coping styles and self-perceived burden in maintenance hemodialysis patients
摘要
Abstract
Objective To explore the impacts of a nursing pattern based on Swanson's Theory of Caring on coping styles and self-perceived burden in patients undergoing maintenance hemodialysis(MHD).Methods A total of 120 MHD patients admitted to the Affiliated Hospital of Putian University from February 2022 to December 2023 were selected as the research subjects(after excluding 3 patients who underwent kidney transplantation,5 who died,8 who transferred to other hospitals,and 3 who submitted invalid questionnaires,101 patients were finally included in the study).All patients received nursing interventions based on Swanson's Theory of Caring for 6 months.The scores of the medical coping modes questionnaire(MCMQ)and self-perceived burden scale(SPBS)were compared before intervention and 6 months after intervention,and the incidence of venous catheter-and arteriovenous fistula-associated complications during the intervention period was recorded.Results After 6 months of intervention,MHD patients had higher scores in the MCMQ confrontation dimension,but lower scores in resignation and avoidance dimensions(all P<0.05);and they had lower scores in all SPBS dimensions(physical,emotional,and economic burden)and decreased total SPBS score compared to those before intervention(all P<0.05).Among the MHD patients,12 cases of venous catheter-associated complications and 6 cases of arteriovenous fistula-associated complications occurred during the intervention period,yielding a total incidence of complications of 17.82%(18/101).Conclusion The nursing pattern based on Swanson's Theory of Caring can effectively improve the coping styles of MHD patients and reduce their self-perceived burden.关键词
维持性血液透析/Swanson关怀理论/应对方式/自我感受负担Key words
Maintenance hemodialysis/Swanson's Theory of Caring/Coping styles/Self-perceived burden分类
医药卫生引用本文复制引用
林丽丹,杨莺卿,吴凤珍,陈贞..基于Swanson关怀理论的护理模式对维持性血液透析患者应对方式及自我感受负担的影响[J].内科,2025,20(3):280-283,4.基金项目
莆田学院附属医院护理科研发展计划项目(pyhl202406) （pyhl202406）
