摘要
目的:探究时效性激励理论干预对维持性血液透析(MHD)患者情绪和应对方式的影响。方法:选取2021年5月—2022年4月某院收治的150例MHD患者,随机分为对照组和观察组,各75例,对照组给予常规干预,观察组在对照组基础上给予时效性激励理论干预。比较两组情绪状态[焦虑自评表(SAS)和抑郁自评表(SDS)]、疲乏状况[疲劳量表-14(FS-14)]、应对方式[简易应对方式问卷(SCSQ)]、自护能力[自护能力测定量表(ESCA)]及生存质量[生存质量测定量表简表(QOL-BREF)]。结果:干预后,相较于对照组,观察组SAS评分和SDS评分均明显较低(t=-7.580,-7.380;P<0.001),FS-14各维度评分及总分均明显较低(t=-4.092,-4.379,-5.840;P<0.001),观察组积极应对评分明显较高(t=6.756,P<0.001),消极应对评分明显较低(t=-5.815,P<0.001),ESCA各维度评分明显较高(t=11.159,3.825,7.758,5.950;P<0.001),观察组心理、生理、社会、环境、健康状态评分均明显较高(t=6.728,8.097,4.507,7.240,7.356;P<0.001),生存质量评分明显较高(t=3.489,P<0.05)。结论:与常规干预相比,时效性激励理论干预可更有效的改善MHD患者的情绪状态,降低疲乏,增强积极应对方式,提高自护能力,提升生存质量。
Objective:To explore the effect of time-dependent motivation theory intervention on emotion and coping style of maintenance hemodialysis(MHD)patients.Methods:A total of 150 patients with MHD in our hospital from May 2021 to April 2022 were randomly divided into control group and observation group,75 cases in each group.The control group was given conventional intervention,and the observation group was given time-dependent incentive theory intervention on the basis of the control group.The two groups were compared in terms of emotional status(self-rating anxiety scale(SAS)and self-rating depression scale(SDS),fatigue status(fatigue scale-14(FS-14),coping style(simplified coping style questionnaire(SCSQ),self-care ability(ESCA)and quality of life(QOL-BREF).Results:After intervention,compared with the control group,the scores of SAS and SDS in the observation group were significantly lower(t=-7.580,-7.380;P<0.001),the scores of each dimension and total score of FS-14 in the observation group were significantlylower(t=-4.092,-4.379,-5.840;P<0.001),and the scores of positive coping in the observation group were significantly higher(t=6.756,P<0.001).The scores of negative coping were significantly lower(t=-5.815,P<0.001),the scores of ESCA dimensions were significantly higher(t=11.159,3.825,7.758,5.950;P<0.001),the scores of psychological,physiological,social,environmental and health status were significantly higher(t=6.728,8.097,4.507,7.240,7.356;P<0.001),and the scores of quality of life were significantly higher in the observation group(t=3.489,P<0.05).Conclusion:Compared with the routine intervention,the time-dependent incentive theory intervention can effectively improve the emotional state of MHD patients,reduce fatigue,enhance positive coping style,improve self-care ability and improve quality of life.
作者
邹霜
王杨
王冉
郑浩
ZOU Shuang;WANG Yang;WANG Ran;ZHENG Hao(Affiliated Hospital of Hubei University of Arts and Sciences,Xiangyang City Hospital Hemodialysis,Xiangyang 441000,China;Hemodialysis in Jingzhou City First People's Hospital)
出处
《中国健康心理学杂志》
2024年第5期730-736,共7页
China Journal of Health Psychology
基金
湖北省自然科学基金(编号:2019CFB204)。
关键词
时效性激励理论干预
维持性血液透析
情绪状态
应对方式
Time-effectiveness incentive theory intervention
Maintenance hemodialysis
Emotional state
Coping style
作者简介
邹霜,E-mail:zousuang19740201@163.com;通信作者:王冉。
