【摘要】目的调查维持性血液透析(maintenance hemodialysis, MHD)患者照顾者创伤后成长水平及与领悟社会支持能力的相关性。方法采用一般资料问卷、创伤后成长量表(posttraumatic growth inventory,PTGI)及领悟社会支持能力量表(perceived social support scale，PSSS)对海军军医大学附属长海医院血液净化中心120 例MHD 患者照顾者进行调查，分析照顾者创伤后成长的相关因素及与领悟社会支持能力的关系。结果MHD 患者照顾者创伤后成长总分为(39.73±22.59)分，领悟社会支持能力评分为(46.08±13.53)分，创伤后成长与照顾者性别、与患者关系、患者透析龄、照顾患者时间、照顾者学历、家庭月收入相关，与领悟社会支持能力呈正相关(r=0.883,P＜0.001)。结论MHD 患者照顾者创伤后成长处于中等水平，应针对相关影响因素加强对照顾者的社会支持，提供有效的心理干预，从
而提高照顾者的创伤后成长水平。

【Abstract】Objective To investigate the post-traumatic growth and the correlation with perceived social support in caregivers of maintenance hemodialysis (MHD) patients. Methods The general data questionnaire, Posttraumatic Growth Inventory (PTGI) and Perceived Social Support Scale (PSSS) were used to investigate the caregivers of 120 MHD patients in the blood purification center of our hospital. The factors related to post-traumatic growth in caregivers and their correlation with the comprehension of social support were analyzed. Results The total scores of post-traumatic growth was 39.73±22.59 and the score of perceived social support ability was 46.08±13.53 in caregivers of MHD patients. The post-traumatic growth was related to caregiver's gender, the relationship with the patient, patient's dialysis-age, the time spent on care, caregiver's education level and family monthly income, and was positively related to perceived social support ability (r=0.883, P<0.001). Conclusions The post- traumatic growth of caregivers of MHD patients was at a medium level. The enhancement of social support for caregivers should be focused on the relevant influencing factors. Effective psychological intervention should be provided to the caregivers to improve their post-traumatic growth.