Swanson关怀理论联合本森放松技术对老年腹膜透析患者疲乏-睡眠障碍症状群及舒适度的协同干预效果OA
Synergistic effects of Swanson's theory of caring combined with Benson's relaxation technique on fatigue-sleep disturbance symptom cluster and comfort in elderly patients with peritoneal dialysis
目的 探讨Swanson关怀理论联合本森放松技术(BRT)对老年腹膜透析(PD)患者疲乏-睡眠障碍症状群及舒适度的协同干预效果.方法 采用随机对照试验设计,将108例老年PD患者随机分为研究组(n=54)和对照组(n=54).对照组接受PD常规治疗与护理,研究组在对照组基础上实施12周Swanson关怀理论联合BRT干预.采用Piper疲乏修订量表(PFS-R)、匹兹堡睡眠质量指数(PSQI)及PD患者舒适量表评估2组患者干预前后的疲乏程度、睡眠质量及舒适度;采用Pearson相关性分析探讨疲乏、睡眠质量及舒适度的关联.结果 干预后,研究组PFS-R平均得分(2.57±0.91)分,PSQI总分(8.66±2.84)分,低于对照组的(3.93±2.03)、(12.13±3.89)分,研究组舒适量表总分(78.42±4.67)分,高于对照组的(61.38±4.65)分,差异均有统计学意义(均P＜0.05).组间均值差(MD)及95％置信区间(CI):PFS-R得分,MD=-1.36,95％CI:-2.01～-0.71;PSQI 总分,MD=-3.47,95％CI:-4.72～-2.22;舒适量表总分,MD=17.04,95％CI:15.01～19.07.Pearson相关性分析显示,老年PD患者疲乏程度与睡眠质量呈显著正相关(r=0.65,P＜0.01),疲乏、睡眠质量均与舒适度呈显著负相关(r=-0.72、-0.58,均P＜0.01).结论 Swanson关怀理论与BRT协同干预可有效破解老年PD患者"疲乏-睡眠障碍"恶性循环,从生理、心理、社会多维度提升患者舒适度,具有低成本、高依从性优势.
Objective To investigate the synergistic intervention effects of Swanson's theory of caring combined with Benson's relaxation technique(BRT)on the fatigue-sleep disturbance symptom cluster and comfort level in elderly patients with peritoneal dialysis(PD).Methods A randomized controlled trial was conducted.A total of 108 elderly PD patients were randomly divided into study group(n=54)and control group(n=54).The control group received routine PD treatment and nursing care,while the study group received a 12-week intervention combining Swanson's theory of caring with BRT on the basis of routine care.The Piper Fatigue Scale-Revised(PFS-R),the Pitts-burgh Sleep Quality Index(PSQI),and PD Patient Comfort Scale were used to assess fatigue,sleep quality,andcomfort levels in both groups before and after the intervention.Pearson correlation analysis was performed to explore the associations among fatigue,sleep quality,and comfort.Results After the intervention,the study group had significantly lower mean PFS-R score[(2.57±0.91)versus(3.93±2.03)]and PSQI total score[(8.66±2.84)versus(12.13±3.89)]as well as a signif-icantly higher mean Comfort Scale total score[(78.42±4.67)versus(61.38±4.65)]than the control group(P＜0.05).The mean differences(MD)and 95％confidence intervals(CI)be-tween groups were as follows:MD=-1.36,95％CI,-2.01 to-0.71(PFS-R score);MD=-3.47,95％CI,-4.72 to-2.22(PSQI total score);MD=17.04,95％CI,15.01 to 19.07(Comfort Scale total score).Pearson correlation analysis revealed that fatigue was significantly posi-tively correlated with sleep quality(r=0.65,P＜0.01),and both fatigue and sleep quality were significantly negatively correlated with comfort(r=-0.72 and-0.58,respectively;P＜0.01).Conclusion The synergistic intervention of Swanson's theory of caring combined with BRT can ef-fectively break the vicious cycle of"fatigue-sleep disturbance"in elderly PD patients and improve comfort from physiological,psychological,and social dimensions,with the advantages of low cost and high compliance.
张海燕;吴越;高攀攀;李燕燕;吕淑捷;郝然
河南理工大学第一附属医院,病案管理科,河南焦作,454001河南理工大学第一附属医院,病案管理科,河南焦作,454001河南理工大学第一附属医院,肾内科,河南焦作,454001河南理工大学第一附属医院,肾内科,河南焦作,454001河南理工大学第一附属医院,肾内科,河南焦作,454001河南理工大学第一附属医院,病案管理科,河南焦作,454001
医药卫生
Swanson关怀理论本森放松技术腹膜透析老年患者疲乏睡眠障碍舒适度肾脏功能
Swanson's theory of caringBenson's relaxation techniqueperitoneal dialysiselderly patientsfatiguesleep disturbancecomfort degreerenal function
《实用临床医药杂志》 2026 (15)
42-46,53,6
河南省医学科技攻关计划联合共建项目(LHGJ20240700)
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