护士在腹腔透析中的自主管理:来自沙特阿拉伯利雅得的一项跨部门研究
Abdulaziz M Alodhialah1, Shorok Hamed Alahmedi2
1Department of Medical Surgical Nursing, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia.
Healthcare (Basel, Switzerland)
|October 29, 2025
概括
经过腹膜透析 (PD) 的成年人显示,更高的自我管理得分与更好的健康结果和生活质量相关. 除了技术技能之外,加强护理支持对于改善患者自我管理和福祉至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 护理科学 护理科学
- 健康心理学 心理健康心理学
背景情况:
- 腹腔透析 (PD) 需要显著的患者自我管理,包括技术,心理社会和教育方面.
- 在沙特阿拉伯,关于PD患者的自我管理行为及其临床/生活质量结果之间的关系的证据有限.
- 护理干预对于支持PD患者的自我管理能力至关重要.
研究的目的:
- 为了评估沙特阿拉伯利雅得成人PD患者的自我管理行为.
- 研究自我管理行为与临床指标和生活质量之间的关联.
- 探索情感福祉对这些关系的调解作用,并为护理实践提供信息.
主要方法:
- 一项描述性的横截面研究,涉及158名来自沙特国王大学附属中心的成人PD患者.
- 使用了经过验证的阿拉伯版本的慢性疾病自我管理量表和KDQOL-SF.
- 从医疗记录中检索临床数据;统计分析包括t测试,回归和调解分析.
主要成果:
- 技术技能获得了最高的自我管理得分 (3.78 ± 0.62),而情绪应对得分是最低的 (2.71 ± 0.69).
- 较高的自我管理与减少住院 (0.9对1.6),血清白蛋白升高 (3.60对3.44g/dL) 和情绪健康改善 (60.1对55.3) 有关.
- 学历水平 (β = 0.208) 和情感幸福感 (β = 0.197) 独立地预测了自我管理,情感幸福感部分调解了影响.
结论:
- 对PD患者的有效护理支持必须超越技术培训,包括健康素养和情绪弹性.
- 专注于心理社会支持以及技能培养的干预措施可以提高患者的自我管理,减少住院治疗,并改善整体生活质量.
- 建议采用文化敏感的教育策略,以优化PD患者的护理.
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