| 李浩宇,黄燕林.认知行为干预对中青年腹膜透析患者疾病不确定感和应对方式的影响李浩宇,黄燕林*,黄柳, 邹宝林[J].上海护理,2017,17(2): |
| 认知行为干预对中青年腹膜透析患者疾病不确定感和应对方式的影响李浩宇,黄燕林*,黄柳, 邹宝林 |
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| DOI： |
| 中文关键词: 腹膜透析 认知行为干预 疾病不确定感 应对方式 |
| 英文关键词:peritoneal dialysis cognitive-behavioral therapy illness uncertainty coping style |
| 基金项目:广西壮族自治区教育厅高校科研项目(项目编号：YB2014087)；广西壮族自治区卫生厅科研课题(合同号：Z2014653)第一作者李浩宇,女,主管护师,从事肾内科护理工作,E-mail:156478804@qq.com*通讯作者黄燕林,女,研究生,主任护师,硕士生导师,从事肾内科护理工作,E-mail:154320831@qq.com作者单位：530021 南宁,广西医科大学第一附属医院肾内科. |
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| 中文摘要: |
| 【】 目的 探讨认知行为干预对中青年腹膜透析(peritoneal dialysis,PD)患者疾病不确定感和应对方式的影响。方法 将76例病情稳定的中青年PD患者随机分为对照组和干预组,各38例。对照组接受常规护理。干预组在接受常规护理的基础上进行每周1次共12周的认知行为干预。干预前、干预第4周和第12周采用Mishel疾病不确定感量表(Mishel’s Uncertainty in Illness Scale-Adult,MUIS-A)和医学应对方式问卷(Medical Coping Modes Questionnaire,MCMQ)对两组患者的疾病不确定感和应对方式进行评估。结果 共73例患者(干预组37例、对照组36例)完成研究。干预组患者疾病不确定感总分、屈服应对得分随干预时间的延长而降低,面对应对得分随干预时间的延长而升高；干预第4周,干预组患者疾病不确定感总分、屈服应对得分均低于对照组(P <0.05)；干预第12周,干预组患者疾病不确定感总分、屈服应对得分均低于对照组(P <0.05), 面对应对得分高于对照组(P <0.05)。结论 认知行为干预能降低中青年腹膜透析患者的疾病不确定感,减少患者消极应对,促进积极应对。 |
| 英文摘要: |
| Objective To evaluate the effects of cognitive-behavioral therapy on the illness uncertainty and coping style of young and middle-aged patients undergoing peritoneal dialysis. Methods 76 stable condition of young and middle-aged PD patients were randomly divided into the control group and the intervention group, each with 38 cases. The control group received the routine nursing care in hospital. On the base of routine nursing care in hospital, the intervention group were given cognitive behavior intervention once a week for twelve weeks. The patients were investigated with Mishel’s Uncertainty in Illness Scale-Adult and Medical Coping Modes Questionnaire at baseline, four weeks and twelve weeks after intervention. Results Totally 73 patients went to the end of the study,including 37 patients in the intervention group and 36 in the control group．The scores of total uncertainty and resignation coping style decreased significantly after intervention, while the score of confrontation coping style increased significantly after intervention．At 4 weeks during the intervention, the scores of total uncertainty and resignation coping style of intervention group were lower than that of control group(P<0.05).At 12 weeks, the scores of total uncertainty and resignation coping style of intervention group were lower than that of control group(P<0.05), while the score of confrontation coping style was higher than that of control group(P<0.05). Conclusion Cognitive-behavioral therapy can reduce the illness uncertainty and negative coping style, promote positive coping style of young and middle-aged patients undergoing peritoneal dialysis. |
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