HAVENS人文关怀护理配合正念减压训练对老年持续性血液透析患者应对方式、自我感受负担的影响

Effects of HAVENS Humanistic Care Nursing Combined with Mindfulness Decompression Training on Coping Style and Self-Perceived Burden in Elderly Patients with Continuous Hemodialysis

目的探讨家庭-活动-访视-环境-护理-安全(HAVENS)人文关怀护理配合正念减压训练对老年持续性血液透析患者应对方式、自我感受负担的影响。方法选取2020年4月—2023年4月兰陵县人民医院收治的64例老年持续性血液透析患者为研究对象,按照随机数字表法分为对照组及观察组,每组32例。对照组进行正念减压训练,观察组在此基础上采用HAVENS人文关怀护理。对比两组患者的应对方式、自我感受负担。结果干预后,观察组的医学应对问卷中面对评分高于对照组,回避、屈服评分均低于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的自我感受负担量表评分为(17.62±2.97)分,低于对照组的(25.14±3.22)分,差异有统计学意义(P<0.05)。结论老年持续性血液透析患者采用HAVENS人文关怀护理配合正念减压训练的效果显著,能改善其自我感受负担,有助于患者以积极的方式面对疾病和生活。

Objective To explore the effects of home-activity-visitation-environment-nursing-safety(HAVENS)humanistic care nursing combined with mindfulness decompression training on coping style and self-perceived burden in elderly patients with continuous hemodialysis.Methods 64 elderly patients with continuous hemodialysis admitted to Lanling County People's Hospital from April 2020 to April 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 32 cases in each group.The control group was given mindfulness decompression training,and the observation group was given HAVENS humanistic care nursing on this basis.The coping styles and self-perceived burden of the two groups were compared.Results After intervention,the face score in the Medical Coping Modes Questionnaire of the observation group was higher than that of the control group,and the avoidance and submission scores were lower than those of the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the Self-Perceived Burden Scale score of the observation group was(17.62±2.97)points,which was lower than(25.14±3.22)points of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of HAVENS humanistic care nursing combined with mindfulness decompression training in elderly patients with continuous hemodialysis is significant,which can improve their self-perceived burden and help patients face the disease and life in a positive way.