Application of bidirectional social support in elderly patients with maintenance hemodialysis

doi:10.3761/j.issn.0254-1769.2025.07.007

Abstract

Abstract:

Objective To explore the basis of PERMA on the overall well-being and social support of elderly patients with maintenance hemodialysis（MHD）. Methods A total of 60 elderly patients with MHD were selected from the blood purification center of a tertiary A hospital in Zhejiang Province from January to December 2022 as the study subjects. According to the different disease areas of the patients，they were randomly divided into an experimental group or a control group. Finally，30 patients were included in each group. The control group received routine care，and the experimental group received another 4-week bidirectional social support intervention based on the PERMA model. General well-being scale，social support rating scale，sleep duration，activity duration were used to evaluate the effect before intervention，4 weeks after intervention and 1 month after intervention. Results The results of repeated measurement ANOVA showed that there were statistically significant differences in general happiness score，social support score，sleep duration and activity duration in terms of time effect（P<0.05），while there were statistically significant differences in general happiness score，social support score and sleep duration in terms of inter-group effect（P<0.05）. Social support score and sleep duration had statistically significant interac-tion effects（P<0.05）. Conclusion The bidirectional social support intervention based on well-being PERMA model can enhance the general well-being and social support level of elderly patients with MHD，and improve the sleep and activity status of elderly patients with MHD.

Key words: Positive Psychological Intervention, Social Support, Maintenance Hemodialysis, Psychological Nursing

摘要：

目的探讨基于幸福理论模式的双向社会支持对老年维持性血液透析患者总体幸福感和社会支持的影响，为提升其幸福感和社会支持水平提供参考。方法采用便利抽样法，选取2022年1月—12月浙江省湖州市某三级甲等医院血液净化中心60例老年维持性血液透析患者作为研究对象，根据患者所处病区不同，随机分为试验组或对照组，两组分别纳入30例患者。试验组在常规护理的基础上实施为期4周的基于幸福理论模式的双向社会支持干预方案，对照组实施常规护理。于干预前、干预4周和干预后1个月采用总体幸福感量表、社会支持量表、睡眠时长、活动时长评价干预效果。结果重复测量方差分析结果显示，总体幸福感得分、社会支持得分、睡眠时长、活动时长在时间效应方面，差异有统计学意义（P<0.05），总体幸福感得分、社会支持得分、睡眠时长在组间效应方面，差异有统计学意义（P<0.05），社会支持得分、睡眠时长在交互效应方面差异具有统计学意义（P<0.05）。结论基于幸福理论模式的双向社会支持可以增强老年维持性血液透析患者的总体幸福感和社会支持水平，改善其睡眠和活动情况。

关键词: 积极心理干预, 社会支持, 维持性血液透析, 心理护理

ZHANG Cheng, WANG Xiaoyi, YANG Wenjuan, LIU Mengru, HE Fei. Application of bidirectional social support in elderly patients with maintenance hemodialysis[J]. Chinese Journal of Nursing, 2025, 60(7): 813-818.

张程, 王霄一, 杨文娟, 刘梦如, 贺飞. 双向社会支持在老年维持性血液透析患者中的应用研究[J]. 中华护理杂志, 2025, 60(7): 813-818.

Figures/Tables 5

Table 1 Bidirectional social support intervention program based on the PERMA model

Table 2 Comparison of general data in the 2 groups[case（percentage，%）]

Table 3 Comparison of general happiness scores between the 2 groups（score，$\bar{x}±s$）

Table 4 Comparison of social support scores between the 2 groups（score，$\bar{x}±s$）

Table 5 Comparison of objective indicators between the 2 groups（$\bar{x}±s$）

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