基于心理赋权的激励面试计划对早期慢性病患者的自我管理行为的影响:一种混合方法研究
Yi Cui1,2, Jiayao Li2, Na Liu2
1Department of Nephrology, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Journal of nursing management
|December 1, 2025
概括
一项心理赋权计划显著改善了早期慢性病 (CKD) 患者的自我管理,并减少了自我耗尽. 这种干预为管理慢性疾病和加强心理护理提供了新的策略.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 心理学 心理学 心理学
- 护理 护理 护理
背景情况:
- 慢性病 (CKD) 构成了全球卫生挑战,影响患者的身体和精神健康.
- 有效的自我管理对于减缓CKD进展至关重要,但长期治疗可能导致自我消耗,阻碍自我护理.
- 目前对CKD患者自我消耗的干预措施是不发达的.
研究的目的:
- 评估基于心理赋权的激励面试计划对早期CKD患者的自我管理,感知赋权和自我消耗的影响.
- 探索患者参与体验和干预有效性背后的机制.
主要方法:
- 一个解释性的顺序混合方法设计,结合了随机对照试验和定性研究.
- 70名早期CKD患者被随机分配到对照组 (标准护理) 或干预组,接受护士领导的为期12周的基于心理赋权的激励采访计划.
- 数据是通过验证的尺度 (自我管理,赋权,自我消耗) 和多个时间点的生化指标收集的,使用通用估计方程模型进行分析,并补充了半结构面试.
主要成果:
- 与对照组相比,干预组在自我管理行为 (p < 0.001) 和感知到的赋权 (p < 0.001) 中呈现出统计学上显著的改善.
- 在干预组干预后 (p < 0.001) 观察到自我耗尽的显著减少.
- 定性数据显示,干预对自我感知,情绪调节和建立健康行为产生了积极的影响.
结论:
- 基于心理赋权的激励面试计划在早期CKD患者中展示了自我管理,赋权和自我耗尽的直接和持续的好处.
- 这项干预为治疗慢性疾病和推进心理护理实践提供了一种新方法.
- 该研究提供了将心理干预整合到CKD护理中的证据,以改善患者的治疗结果.
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