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同伴支持对血液透析患者希望感的影响。

The Effect of Peer Support on Hope Among Patients Under Hemodialysis.

作者信息

Pasyar Nilofar, Rambod Masoume, Jowkar Mostafa

机构信息

Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Nursing Department, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Int J Nephrol Renovasc Dis. 2020 Mar 13;13:37-44. doi: 10.2147/IJNRD.S240756. eCollection 2020.

Abstract

INTRODUCTION

Providing social support for patients under hemodialysis treatment can reduce their psychological, social, and physical problems. The present study aimed at determining the effect of peer support on hopefulness in patients under hemodialysis.

METHODS

This clinical trial with a pre/posttest design was conducted on 128 patients who had referred to the hemodialysis centers of Shiraz University of Medical Sciences in 2019. The patients were randomly divided into an intervention and a control group. The patients in the intervention group were supported by their peers for eight weeks and were provided with the usual care, but the controls were only provided with the usual care. The data were collected using Snyder Hope Scale. Then, the data were entered into the SPSS software, version 18 and were analyzed using independent -test and paired -test.

RESULTS

At baseline, the participants in both groups were similar with respect to the mean scores of hope and its subscales (p>0.05). However, there was a significant difference between the two groups in terms of hope and its subscales eight weeks after the intervention (p<0.001).

CONCLUSION

The results confirmed the effect of peer support on increasing hope among the patients under hemodialysis. Peer support in informational, emotional, instrumental, and spiritual forms could create a positive incentive and increase hope among the patients.

CLINICAL TRIAL NUMBER

This clinical trial has been registered in the Iranian Registry of Clinical Trials (IRCT20190126042498N1).

摘要

引言

为接受血液透析治疗的患者提供社会支持可以减少他们的心理、社会和身体问题。本研究旨在确定同伴支持对血液透析患者希望感的影响。

方法

本采用前后测设计的临床试验于2019年对128名转诊至设拉子医科大学血液透析中心的患者进行。患者被随机分为干预组和对照组。干预组患者由同伴提供为期八周的支持,并接受常规护理,而对照组仅接受常规护理。使用斯奈德希望量表收集数据。然后,将数据录入SPSS 18版软件,并使用独立样本t检验和配对样本t检验进行分析。

结果

在基线时,两组参与者在希望及其子量表的平均得分方面相似(p>0.05)。然而,干预八周后,两组在希望及其子量表方面存在显著差异(p<0.001)。

结论

结果证实了同伴支持对提高血液透析患者希望感的作用。信息、情感、工具和精神形式的同伴支持可以产生积极的激励作用,并增加患者的希望感。

临床试验编号

本临床试验已在伊朗临床试验注册中心注册(IRCT20190126042498N1)。

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