Bellier-Teichmann Tanja, Antonini Matteo, Delmas Philippe
La Source, School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
J Contemp Psychother. 2022;52(1):67-77. doi: 10.1007/s10879-021-09524-5. Epub 2021 Oct 27.
Hemodialysis patients constitute a vulnerable population. Their health needs are considerable and they often present psychological symptoms such as depression and anxiety. Empirical studies have demonstrated the efficacy of positive psychology interventions to enhance the well-being of patients and alleviate their depressive symptoms. One such intervention consists in identifying and mobilizing patient resources to activate their recovery. An intervention of the sort was implemented in Switzerland with hemodialysis nurses using AERES, a novel self-assessment instrument. AERES covers 31 domains under three dimensions: personal characteristics/qualities, hobbies/passions, and social/environmental resources. The aim of this qualitative study was to explore hemodialysis nurse perceptions of the use of this instrument. Sixteen hemodialysis nurses were recruited in six hospitals in French-speaking Switzerland and interviewed after delivering the intervention. A consensual qualitative research method was used to analyze the data. Results showed that the resources instrument was easy to administer and beneficial to patients and health professionals. Patient wellbeing became the top priority for the nurses and new interventions centered on patient resources were undertaken. Quality of patient care was improved. Nurses perceived this positive psychology instrument as a means of creating a positive relationship with patients and supporting them emotionally. Assessing the resources of this vulnerable population can provide health professionals with a powerful tool to understand patient intact resources, which can be used to alleviate symptoms and foster wellbeing.
血液透析患者是弱势群体。他们的健康需求相当大，且经常出现抑郁和焦虑等心理症状。实证研究表明，积极心理学干预措施在提高患者幸福感和缓解其抑郁症状方面具有成效。其中一种干预措施是识别并调动患者自身资源以促进康复。瑞士的血液透析护士使用一种新型自我评估工具AERES实施了此类干预。AERES涵盖三个维度下的31个领域：个人特征/品质、爱好/热情和社会/环境资源。这项定性研究的目的是探讨血液透析护士对使用该工具的看法。在瑞士法语区的六家医院招募了16名血液透析护士，并在实施干预后对她们进行了访谈。采用共识定性研究方法对数据进行分析。结果表明，资源评估工具易于使用，对患者和医护人员都有益。患者的幸福感成为护士的首要关注点，并开展了以患者资源为中心的新干预措施。患者护理质量得到了提高。护士们认为这种积极心理学工具是与患者建立积极关系并给予他们情感支持的一种方式。评估这一弱势群体的资源可以为医护人员提供一个有力工具，用以了解患者完好无损的资源，这些资源可用于缓解症状和促进幸福感。
