内在行为驱动力激发干预联合赋权理论健康教育在血液透析患者中的应用

Application of Intrinsic Behavioral Driving Force Stimulation Intervention Combined with Empowerment Theory Health Education for Hemodialysis Patients

目的:探讨血液透析(HD)患者采用内在行为驱动力激发干预联合赋权理论健康教育的效果。方法:选取2022年3月—2023年5月厦门大学第一附属医院收治的105例HD患者,以随机数字表法分成干预组(n=53)与对照组(n=52)。对照组采用常规干预,干预组采用内在行为驱动力激发干预联合赋权理论健康教育。比较两组疾病知识掌握程度、自我管理能力、心理状态[心境状态量表(POMS)]。结果:干预后,干预组肾衰竭、血液透析、预后康复护理评分均较对照组高,差异均有统计学意义(P<0.05)。干预后,两组慢性病自我管理研究测量表(CDSMS)评分均较干预前升高,干预组均较对照组高,差异均有统计学意义(P<0.05)。干预后,两组积极情绪领域评分均升高,消极情绪领域评分、POMS总分均下降,干预组积极情绪领域评分较对照组高,消极情绪领域评分、POMS总分均较对照组低,差异均有统计学意义(P<0.05)。结论:内在行为驱动力激发干预联合赋权理论健康教育应用于HD患者中,能够提高疾病知识掌握程度及自我管理能力,改善心理状态。

Objective:To explore the effect of using intrinsic behavior driving force stimulation intervention and empowerment theory health education in hemodialysis(HD)patients.Method:A total of 105 HD patients from March 2022 to May 2023 who were admitted to the First Affiliated Hospital of Xiamen University were selected,they were divided into the intervention group(n=53)and the control group(n=52)by random number table method.The control group was given routine intervention,the intervention group was given internal behavior driving force stimulation intervention and empowerment theory health education.The mastery of disease knowledge,self-management ability,and psychological state[profile of mood states(POMS)]in both groups were compared.Result:After intervention,renal failure,hemodialysis,and prognosis rehabilitation nursing scores in the intervention group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the chronic disease self-management research scale(CDSMS)scores in both groups were increased,and those in the intervention group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the positive emotional domain scores in both groups were increased,the positive emotional domain scores of the intervention group was higher than that in the control group,while the negative emotional domain scores and total POMS scores were decreased,while the negative emotional domain scores and total POMS scores were lower,the differences were statistically significant(P<0.05).Conclusion:The application of intrinsic behavioral driving force stimulation intervention and empowerment theory health education for HD patients can improve their mastery of disease knowledge and self-management ability,and improve their psychological state.