基于自我效能理论的心理社会支持对中青年腹膜透析病人社会参与的影响

Influence of psychological and social support based on self efficacy theory on social participation of young and middle-aged patients with peritoneal dialysis

[目的]探讨基于自我效能理论的心理社会支持干预对中青年腹膜透析病人社会参与的影响。[方法]采用不同期对照的类实验研究方法,将64例中青年腹膜透析病人分为对照组和试验组各32例,对照组实施常规门诊随访和健康指导,试验组实施基于自我效能理论的心理社会支持干预方案,分别于入组时、入组后3个月和入组后6个月评估两组病人的自我效能感、社会参与状况和病人尿量与超滤量之和、血清肌酐(Scr)和尿素氮(BUN)水平。[结果]入组6个月后,试验组病人自我效能感、社会参与程度高于对照组(P<0.05),Scr和BUN低于对照组(P<0.05)。[结论]对中青年腹膜透析病人实施基于自我效能理论的心理社会支持干预方案,有助于提升病人的自我效能及社会参与度,提高腹膜透析效果。

Objective To probe into the influence of psychosocial support based on self efficacy theory on social participation of young and middle - aged patients with peritoneal dialysis. Methods： By using the quasi experi-mental research method of different period control,a total of 64 young patients with peritoneal dialysis were divided into control group and experimental group with 32 cases in each. The patients in control group received routine outpatient follow -up and health guidance,while the patients in experimental group implementated interventions of psychosocial support based on self efficacy theory,then to evaluate the level of self- efficacy,social participation, urine volume and ultrafiltration volume, serum creatinine （SCR） and blood urea nitrogen （BUN） of patients between both groups respectively at 3 months and 6 months after entering in group. Results： 6 months after the intervention,the scores of self - efficacy and social participation of patients in experimental group were all higher than those in control group（P 〈0. 05） , and the urine volume and ultrafiltration volume, serum creatinine（SCR） of experimental group were lower than those in control group（P 〈0. 05）. Conclusion： The application of psychosocial support interventions based on self efficacy theory for young and middle - aged patients with peritoneal dialysis was helpful to improve the patients’ self efficacy and social participation, and to improve the effect of peritoneal dialysis.