Nursing project based on IKAP theory improves self-perceived burden and the Herth hope index in peritoneal dialysis patients

doi:10.3877/cma.j.issn.1674-0785.2022.12.018

Abstract

Abstract:

Objective

To investigate the effect of the nursing project based on IKAP theory in improving the self-perceived burden and hope of peritoneal dialysis patients.

Methods

Seventy-five patients who underwent peritoneal dialysis for end stage renal disease at our department from June 2018 to December 2019 were selected as a control group, and 75 patients who were treated from January 2020 to July 2021 were selected as an experimental group. The control group received routine care, and the experimental group received the nursing project based on IKAP theory. The self-perceived burden and hope levels before and after nursing, as well as the patient's satisfaction with the nursing care were compared between the two groups.

Results

Before nursing, the scores of economic/family burden, nursing burden, psychological/emotional burden, psychological/emotional burden, and treatment burden, the total score of self-perceived burden, the scores of positive attitudes toward reality and the future, positive actions taken, and keeping an intimate relationship with others, and the total score of hope had no significant difference between the two groups (P＞0.05). After nursing, the scores of economic/family burden, nursing burden, psychological/emotional burden, psychological/emotional burden, and treatment burden, the total score of self-perceived burden, the scores of positive attitudes toward reality and the future, positive actions taken, and keeping an intimate relationship with others improved significantly in both groups (P＜0.05). Compared with the control group, the scores of economic/family burden, nursing burden, psychological/emotional burden, psychological/emotional burden, and treatment burden and the total score of self-perceived burden in the observation group decreased signficantly (P＜0.05), while the scores of positive attitudes toward reality and the future, positive actions taken, and keeping an intimate relationship with others increased significantly (P＜0.05).

Conclusion

The nursing projects based on IKAP theory can help improve the self-perceived burden and Herth hope inder of peritoneal dialysis patients.

Key words: End stage renal disease, IKAP theory, Nursing project, Peritoneal dialysis, Self-perceived burden, Herth hope index

Li Jin, Li Liu, Cheng Jin, Duojuan Zheng, Juan Wang. Nursing project based on IKAP theory improves self-perceived burden and the Herth hope index in peritoneal dialysis patients[J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(12): 1256-1261.

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Figures/Tables 4

References 17

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组别	对照组	试验组	t/χ²值	P值
例数（例）	75	75
男∶女	46∶29	50∶25	0.463	0.496
年龄（岁）	51.24±10.25	50.96±10.36	0.136	0.892
受教育程度（例）			3.889	0.143
≤中	15	10
中专~高中	26	19
≥大专	34	46
体重指数（kg/m²）	22.15±2.45	22.31±2.78	0.374	0.710
婚姻状态（例）			0.030	0.863
已婚	50	49
单身/丧偶/分居	25	26
家庭人均月收入（元/月）			0.367	0.833
＜1000	24	21
1000~3000	39	40
＞3000	12	14
工作状态（例）			0.599	0.741
全职	42	46
部分时间工作	20	19
病休、无业、退休	13	10
医疗费用支付方式（例）			0.126	0.939
自费	10	9
医疗社会保险/商业保险	50	52
公费医疗	15	14
生活自理能力（例）			1.724	0.422
较差	15	20
一般	50	49
较好	10	6
透析龄（年）	2.12±0.52	2.31±0.64	1.629	0.110
每周透析次数（次/周）			0.427	0.514
1~2	35	39
3	40	36

组别	对照组	试验组	t/χ²值	P值
例数（例）	75	75
男∶女	46∶29	50∶25	0.463	0.496
年龄（岁）	51.24±10.25	50.96±10.36	0.136	0.892
受教育程度（例）			3.889	0.143
≤中	15	10
中专~高中	26	19
≥大专	34	46
体重指数（kg/m²）	22.15±2.45	22.31±2.78	0.374	0.710
婚姻状态（例）			0.030	0.863
已婚	50	49
单身/丧偶/分居	25	26
家庭人均月收入（元/月）			0.367	0.833
＜1000	24	21
1000~3000	39	40
＞3000	12	14
工作状态（例）			0.599	0.741
全职	42	46
部分时间工作	20	19
病休、无业、退休	13	10
医疗费用支付方式（例）			0.126	0.939
自费	10	9
医疗社会保险/商业保险	50	52
公费医疗	15	14
生活自理能力（例）			1.724	0.422
较差	15	20
一般	50	49
较好	10	6
透析龄（年）	2.12±0.52	2.31±0.64	1.629	0.110
每周透析次数（次/周）			0.427	0.514
1~2	35	39
3	40	36

组别	护理前/后	经济/家庭负担	照护负担	心理/情感负担	治疗负担	自我感受总分
对照组	护理前	28.15±5.69	16.45±4.36	20.11±6.11	15.39±3.96	80.10±5.87
对照组	护理后	26.15±4.89	15.01±4.02	18.06±5.89	14.03±3.54	73.25±5.44
t值		2.309	2.103	2.092	2.217	7.412
P值		0.024	0.039	0.040	0.030	＜0.001
试验组	护理前	27.96±6.01	16.23±4.95	20.64±6.34	15.95±4.01	80.78±5.87
试验组	护理后	24.03±4.65^a	13.03±4.35^a	15.11±5.47^a	12.15±3.64^a	64.32±5.18^a
t值		4.479	4.205	5.719	6.077	18.208
P值		＜0.001	＜0.001	＜0.001	＜0.001	＜0.001

组别	护理前/后	经济/家庭负担	照护负担	心理/情感负担	治疗负担	自我感受总分
对照组	护理前	28.15±5.69	16.45±4.36	20.11±6.11	15.39±3.96	80.10±5.87
对照组	护理后	26.15±4.89	15.01±4.02	18.06±5.89	14.03±3.54	73.25±5.44
t值		2.309	2.103	2.092	2.217	7.412
P值		0.024	0.039	0.040	0.030	＜0.001
试验组	护理前	27.96±6.01	16.23±4.95	20.64±6.34	15.95±4.01	80.78±5.87
试验组	护理后	24.03±4.65^a	13.03±4.35^a	15.11±5.47^a	12.15±3.64^a	64.32±5.18^a
t值		4.479	4.205	5.719	6.077	18.208
P值		＜0.001	＜0.001	＜0.001	＜0.001	＜0.001

组别	护理前/后	对现实与未来的积极态度	采取的积极行动	与他人保持亲密的关系	希望水平总分
对照组	护理前	8.26±1.69	8.46±1.25	9.12±1.61	25.84±1.53
对照组	护理后	9.43±1.71	9.96±1.39	10.25±1.79	29.64±1.64
t值		4.214	6.995	4.065	14.673
P值		＜0.001	＜0.001	＜0.001	＜0.001
试验组	护理前	8.34±1.75	8.29±1.69	9.24±1.89	25.87±1.64
试验组	护理后	10.03±1.78	10.65±1.48	11.19±1.98	31.87±2.16
t值		5.863	9.098	6.170	19.160
P值		＜0.001	＜0.001	＜0.001	＜0.001

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