基于斯金纳强化理论的培训方案在腹膜透析置管患者中的应用
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女,硕士,副主任护师

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Application of a training program based on Skinner′s reinforcement theory in catheterized patients undergoing peritoneal dialysis
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    目的 探讨基于斯金纳强化理论的培训方案在腹膜透析置管患者中的应用效果。方法 将腹膜透析置管患者80例采用随机数字表法分为干预组和对照组各40例。对照组予常规健康教育,干预组在常规健康教育基础上实施基于斯金纳强化理论的培训方案。比较两组出院时、出院后不同时间点的腹膜透析相关理论及操作成绩、自我管理行为、生活掌控感及并发症发生情况。结果 对照组38例、干预组40例完成研究。出院时及出院后6个月干预组腹膜透析相关理论和操作成绩、生活掌控感得分显著优于对照组;出院后3、6个月干预组自我管理行为得分显著优于对照组(均P<0.05)。出院后6个月内干预组2例因容量超负荷导致再住院,对照组为8例,两组比较差异有统计学意义(P<0.05)。结论 实施基于斯金纳强化理论的培训方案可提高腹膜透析置管患者腹膜透析相关理论知识及操作技能、自我管理行为和生活掌控感,可降低相关并发症的发生。

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    Objective To explore the application effect of a training program based on Skinner′s reinforcement theory in catheterized patients undergoing peritoneal dialysis. Methods A total of 80 catheterized patients undergoing peritoneal dialysis were randomly divided into an intervention group and a control groupby using the random number table method, with 40 patients in each group. The control group received usual health education, while the intervention group additionally received a training program based on Skinner′s reinforcement theory. The scores of peritoneal dialysis-related knowledge and practice, self-management behavior, mastery in life and complications were compared between the two groups at discharge and at different time points after discharge. Results Thirty-eight patients in the control group and 40 patients in the intervention group completed the study. The scores of peritoneal dialysis-related knowledge and practice, mastery in life in the intervention group were significantly higher than those of the control group at 6 months after discharge; at 3 and 6 months after discharge,the scores of self-management behavior in the intervention group were significantly higher than those of the control group (all P<0.05). Within 6 months after discharge, two patients in the intervention group and eight patients in the control group readmitted due to volume overload,and there was significant difference between the two groups(P<0.05). Conclusion Application of the training program based on Skinner′s reinforcement theory is conducive to enhancing patients′ peritoneal dialysis-related knowledge and practice,improving their self-management behavior and personal mastery, and decreasing the incidence of complications.

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许义,林怀香,王菲,眭玉,张利宣.基于斯金纳强化理论的培训方案在腹膜透析置管患者中的应用[J].护理学杂志,2026,41(12):36-40

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  • 收稿日期:2026-01-29
  • 最后修改日期:2026-03-20
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  • 在线发布日期: 2026-07-29