为什么大多数透析患者不接受心理护理来增加对生活的控制感?
Alicia M de Vries1, Adelita V Ranchor1, Ralf Westerhuis2
1Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
British journal of health psychology
|January 27, 2025
概括
许多透析患者感到缺乏控制,影响健康. 很少有人接受了改善感知控制的干预措施,强调需要更好地了解患者的需求.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 感知到缺乏控制与慢性功能衰竭 (CKF) 透析患者的健康状况下降有关.
- 开发了一项干预措施,以提高这一群体的控制感知.
- 了解患者的需求和接受干预对于有效的护理至关重要.
研究的目的:
- 检查透析患者中低感知控制的患病率.
- 识别患有低感知控制的患者的特征.
- 调查接受或拒绝干预以加强感知控制的原因.
主要方法:
- 使用Pearlin Mastery尺度对430名透析患者进行了查,以了解他们对控制的感知.
- 向报告控制低的患者提供干预措施.
- 利用随机对照试验 (RCT) 的数据来评估干预的可行性,可接受性和有效性.
主要成果:
- 55%的患者报告说,感知控制能力低,并发症患者更常见.
- 很高的比例 (89%) 符合条件的患者拒绝了干预,特别是老年人.
- 不被接受的关键原因包括低控制负担的最小感知和没有感知干预的必要性.
结论:
- 尽管存在较高的低感知控制率,但干预的接受率非常低.
- 进一步的定性研究对于了解患者的经验和对控制和心理干预的需求至关重要.
- 这些发现强调了需要加强感知控制和患者参与现有干预措施之间的差距.
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