【摘要】 目的 探讨基于Swanson关怀理论的护理模式对维持性血液透析（MHD）患者应对方式及自我感受负担的影响。方法 选取莆田学院附属医院2022年2月至2023年12月收治的120例MHD患者作为研究对象（除外3例行肾移植，5例死亡，8例转院，3例问卷无效，共101例纳入研究）。所有患者均接受基于Swanson关怀理论的护理干预，干预持续时间为6个月。比较患者干预前及干预6个月后的医学应对方式问卷（MCMQ）、自我感受负担量表（SPBS）评分，并记录患者干预期间静脉导管及内瘘相关并发症的发生情况。结果 干预6个月后，MHD患者MCMQ面对维度评分较干预前升高，屈服、回避维度评分均较干预前降低（均P<0.05）;MHD患者SPBS总分及身体负担、情感负担、经济负担维度评分均较干预前降低（均P<0.05）。干预期间，MHD患者出现静脉导管相关并发症12例、内瘘相关并发症6例，并发症总发生率为17.82%(18/101)。结论 基于Swanson关怀理论的护理模式可有效地改善MHD患者的应对方式，减轻其自我感受负担。更多还原

【Abstract】 Objective To explore the impacts of a nursing pattern based on Swanson’s Theory of Caring on coping styles and self-perceived burden in patients undergoing maintenance hemodialysis(MHD). Methods A total of 120 MHD patients admitted to the Affiliated Hospital of Putian University from February 2022 to December 2023 were selected as the research subjects(after excluding 3 patients who underwent kidney transplantation, 5 who died, 8 who transferred to other hospitals, and 3 who submitted invalid questionnaires, 101 patients were finally included in the study). All patients received nursing interventions based on Swanson’s Theory of Caring for 6 months. The scores of the medical coping modes questionnaire(MCMQ) and self-perceived burden scale(SPBS) were compared before intervention and 6 months after intervention, and the incidence of venous catheter-and arteriovenous fistula-associated complications during the intervention period was recorded.Results After 6 months of intervention, MHD patients had higher scores in the MCMQ confrontation dimension, but lower scores in resignation and avoidance dimensions(all P<0.05); and they had lower scores in all SPBS dimensions(physical,emotional, and economic burden) and decreased total SPBS score compared to those before intervention(all P<0.05). Among the MHD patients, 12 cases of venous catheter-associated complications and 6 cases of arteriovenous fistula-associated complications occurred during the intervention period, yielding a total incidence of complications of 17.82%(18/101).Conclusion The nursing pattern based on Swanson’s Theory of Caring can effectively improve the coping styles of MHD patients and reduce their self-perceived burden.更多还原