Application of problem solving mode in self-management and volume management of hemodialysis patients
10.3969/j.issn.1009-0754.2025.03.016
- VernacularTitle:问题解决模式在血液透析患者自我管理与容量管理中的效果分析
- Author:
Jiayi HUANG
1
;
Si WANG
;
Zhishan WU
;
Yuefeng DING
Author Information
1. 200092 上海,上海交通大学医学院附属新华医院血液净化部
- Keywords:
Self-regulation;
Problem solving mode;
Hemodialysis;
Self-management;
Disease perception;
Learned helplessness
- From:
Journal of Navy Medicine
2025;46(3):286-291
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of problem solving mode based on self-regulation theory in maintenance hemodialysis(MHD)patients.Methods The convenient sampling method was used to enroll the patients who underwent hemodialysis in Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January to October 2022.According to the random number table,they were assigned to the control group or observation group.Routine nursing was used in the control group,and the nursing care of problem-solving mode based on self-regulation theory was applied in the observation group for 4 week.Self-management behavior,volume management behavior,disease perception and learned helplessness were compared between the two groups at 4 and 12 weeks after intervention.Results Eight patients(5 cases in the control group and 3 cases in the observation group)failed to be followed up.There was no significant difference in the score of self-management behavior,volume management behavior,disease perception or learned helplessness between the two groups before the intervention(P＞0.05).At 4 and 12 weeks after the intervention,the scores of self-management behavior and volume management behavior in the observation group were significantly higher than those in the control group,while the scores of disease perception and learned helplessness in the observation group were significantly lower than those in the control group(P＜0.05).Conclusion The problem-solving mode based on self-regulation theory can improve self-management and volume management of MHD patients,reduce negative disease perception and learning helplessness,and achieve continuous improvement in cognition,psychology and behavior after the intervention.
