【摘要】目的了解血液透析患者主要照顾者反应和应对方式现状，并分析血液透析主要照顾者反应和应对方式的相关性。方法采用一般资料问卷、照顾者反应评定量表和简易应对方式量表对广东省中医院大学城医院120 例血液透析主要照顾者进行调查。结果维持性血液透析主要照顾者自尊维度与积极应对呈正相关(r=0.304, P=0.001)，消极维度和消极应对呈正相关(r=0.236,P=0.01;r=0.268,P=0.003)。结论护理人员应采取积极有效措施，降低照顾者负担，增强其应对能力，从而提高照顾者和患者的生活质量。

【Abstract】Objective To understand the reaction and coping style and the relationship between reaction and coping style in main caregivers for maintenance hemodialysis (MHD) patients. Methods A total of 120 primary caregivers for MHD patients in a hospital were investigated by general information questionnaire, caregiver response rating scale and simplified coping style scale. Results In the major caregivers for MHD patients, self-esteem dimension was positively correlated with positive coping style; negative dimension was positively correlated with negative coping style. Conclusions Nursing staff should take positive and effective measures to reduce the burden of caregivers and enhance their coping ability to improve the quality of life of caregivers and MHD patients.