基于微信的团体心理干预对中青年维持性血液透析患者心理弹性及自我效能影响

The effect of group psychological intervention based on WeChat on mental flexibility and self-efficacy of maintenance hemodialysis patients in middle-aged and young adults

目的调查基于微信的团体心理干预对中青年维持性血液透析患者心理弹性及自我效能影响结果,以评价其抗压能力和适应能力。方法选取2017年1月-2019年10间我院接受维持性血液透析治疗的68例中青年尿毒症患者,随机均分为两组,对照组和观察组各34例。对照组采用血液透析常规护理,观察组在常规护理基础上实施基于微信的团体心理干预模式。干预8周,比较两组干预前后的创伤后成长(PTGI)水平,以及干预后心理弹性、自我管理及自我效能(GSEF)评价情况。结果干预前,两组心理创伤成长量表PTGI各维度得分及总分无明显差异(P>0.05)。干预后:观察组PTGI各维度得分及总分均明显高于对照组(P<0.05);观察组心理弹性评价中坚韧、乐观、自强各维度得分及总分均明显优于对照组(P<0.05);观察组自我管理及自我效能总分均明显高于对照组(P<0.05)。结论基于微信的团体心理干预模式,可明显提高中青年尿毒症患者心理弹性,促进创伤后成长,增强患者自我管理能力,自我效能水平得到明显提升,维持性血液透析治疗效果得到保障。

Objective To investigate the effects of group psychological intervention based on WeChat on the mental flexibility and self-efficacy of young and middle-aged maintenance hemodialysis patients to evaluate their ability to withstand stress and adaptability.Methods A total of 68 young and middle-aged uremic patients who received maintenance hemodialysis in our hospital from January 2017 to 2019 were selected and randomly divided into two groups,the control group and the observation group with 34 cases each.The control group used hemodialysis routine care,and the observation group implemented a WeChat-based group psychological intervention model on the basis of routine care.Intervention for 8 weeks,compare the post-traumatic growth(PTGI)levels of the two groups before and after the intervention,as well as the evaluation of mental resilience,self-management and selfefficacy(GSEF)after the intervention.Results Before the intervention,there was no significant difference in the scores of the PTGI dimensions and the total score of the two groups of psychological trauma growth scale(P>0.05).After intervention:the scores and total scores of all dimensions of PTGI in the observation group were significantly higher than those of the control group(P<0.05);the scores and total scores of the toughness,optimism,and selfimprovement in the evaluation of mental resilience of the observation group were significantly better than those of the control group(P<0.05);The total scores of self-management and self-efficacy of the observation group were significantly higher than those of the control group(P<0.05).Conclusion The group psychological intervention model based on WeChat can significantly improve the mental flexibility of young and middle-aged uremia patients,promote post-traumatic growth,enhance the self-management ability of patients,and significantly improve the level of self-efficacy,and the effect of maintenance hemodialysis treatment is guaranteed.