中青年维持性血液透析患者心理弹性现状调查及其影响因素调查

刘俊

doi:10.3969/j.issn.1671-4091.2019.08.016

中国血液净化 >

2019 , Vol. 18 >Issue 08: 571 - 574

DOI: https://doi.org/10.3969/j.issn.1671-4091.2019.08.016

透析心理学

中青年维持性血液透析患者心理弹性现状调查及其影响因素调查

刘俊

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1.四川大学华西医院肾脏内科血液透析中心

收稿日期: 2018-09-17

修回日期: 2019-06-11

网络出版日期: 2019-08-15

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Investigation of mental resilience and its influencing factors in young and middle-aged maintenance hemodialysis patients

LIU Jun

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Received date: 2018-09-17

Revised date: 2019-06-11

Online published: 2019-08-15

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摘要

【摘要】目的调查维持性血液透析中青年患者心理弹性现状并分析其影响因素，为提高中青年维持性透析患者心理弹性提供依据。方法采用患者一般资料、心理弹性量表、血液透析自我管理量表，便利抽取四川大学华西医院的维持性中青年透析患者110 例进行调查。结果心理弹性得分总分(63.87±15.400)分，坚韧维度(25.91±7.320)分，乐观维度(29.72±7.104)分，自强维度(7.80±2.797)分。自我管理得分总分(60.05 ± 10.53)分，问题解决(15.55 ± 2.52）分，执行自我护理活动(20.57 ± 4.01)分，伙伴关系(12.25± 2.53)分, 情绪处理(11.68±4.73)分。一般资料中患者的文化程度、经济情况、工作情况对患者心理弹性水平的影响差异具有统计学意义(F 值分别为3.903，3.083，2.140；P 值分别为0.011，0.012，0.035)。Pearson 相关分析结果显示:维持性血液透析中青年患者的心理弹性及各维度得分与自我管理各维度得分呈正性相关(P＜0.05)。多元线性回归分析经济情况是影响心理弹性的影响因素(t=3.616，P＜0.001)。结论血液透析中青年患者的心理弹性及自我管理水平相对较低，因根据不同的影响因素采取具有针对意义的措施提高患者心理弹性水平从而提高患者自我管理能力。以此增强患者心理健康以及对疾病的管理情况，提高患者生存质量。

关键词： 中青年; 维持性血液透析; 心理弹性; 自我管理

本文引用格式

刘俊 . 中青年维持性血液透析患者心理弹性现状调查及其影响因素调查[J]. 中国血液净化, 2019 , 18(08) : 571 -574 . DOI: 10.3969/j.issn.1671-4091.2019.08.016

Abstract

【Abstract】Objective To investigate the status quo of mental resilience and its influencing factors in young and middle-aged maintenance hemodialysis (MHD) patients, so as to provide bases for improving mental resilience in these patients. Methods General data of the patients, the mental resilience scale (CD-RISC) and the hemodialysis self-management scale were used to investigate 110 young and middle-aged MHD patients treated in our hospital. Results The total mental resilience score was 63.87±15.400; the dimension scores were resilience 25.91±7.320, optimism 29.72±7.104, and strength 7.80±2.797. Self-management scores were 60.05±10.53; the dimension scores were problem solving 15.55±2.52, self-care activities 20.57 ± 4.01, partnerships 12.25±2.53, and emotional processing 11.68±4.73. In the general data area, educational level, economic status and work status were closely related to the scores of mental resilience (F=3.903, 3.083 and 2.140 respectively; P=0.011, 0.012 and 0.035 respectively). Pearson correlation analysis showed that the scores of psychological resilience and its dimensions were positively correlated with the scores of self-management and its dimensions (P＜0.05) in young and middle- aged MHD patients. Multivariate linear regression revealed that economic status was the influencing factor for psychological resilience (t=3.616, P＜0.001). Conclusion The mental resilience and self-management abilities were relatively low in young and middle-aged MHD patients. Appropriate measures based on the different influencing factors should be taken to enhance mental resilience and self-management abilities, from which their psychological health, disease management abilities and the quality of life can be improved in these MHD patients.

Key words： Young and middle-aged; Maintenance hemodialysis; Mental resilience; Self management

参考文献

[1].参考文献：
[2]Lysaght M J.Maintenance Dialysis Population Dynamics: Current Trends and Long-Term Implications[J].Journal of the American Society of Nephrology, 2002, 13(1):37-40
[3]Ikels C.Kidney failure and transplantation in China[J].Social Science & Medicine, 1997, 44(9):1271-1283
[4]赵蔓, 孙春荣.型糖尿病患者心理弹性与自我管理行为的关系研究[J].齐鲁护理杂志, 2017, 23(3):34-36
[5]Richardson GE.The metatheory of resilience and resiliency[J].J Clin Psychol, 2010, 58(3):307-321
[6]Connor K M, Davidson J R T.Development of a new resilience scale: The Connor‐Davidson Resilience Scale (CD‐RISC)[J].Depression & Anxiety, 2010, 18(2):76-82
[7]于肖楠, 张建新.自我韧性量表与-韧性量表的应用比较[J].心理科学, 2007, 30(5):1169-1171
[8]Curtin R B, Sitter D C, Schatell D, et al.Self-management,knowledge,and functioning and well-being of patients on hemodialysis[J].Nephrol Nurs J, 2004, 31(31):378-386
[9]王爱平, 马金萍.中国血液透析患者的自我管理行为和健康相关生活质量英文[J].中国组织工程研究, 2005, 9(11):192-194
[10]佘燕朝.血透患者自我管理水平对其健康状况影响的研究[D]. 天津医科大学, 2007.
[11]李慧.血液透析患者自我管理现状及影响因素的研究[D]. 北京协和医学院(中国医学科学院) 北京协和医学院清华大学医学部中国医学科学院, 2011.
[12]于肖楠, 张建新.韧性--在压力下复原和成长的心理机制[J].心理科学进展, 2005, 13(5):658-665
[13]马芳琴, 薛小玲, 徐琴娟, 等.血液透析患者自我管理行为横断面研究及因子分析[J].中国实用护理杂志, 2013, 29(26):48-51
[14]Karavetian M, Ghaddar S.NUTRITIONAL EDUCATION FOR THE MANAGEMENT OF OSTEODYSTROPHY (NEMO) IN PATIENTS ON HAEMODIALYSIS: A RANDOMISED CONTROLLED TRIAL[J].Journal of Renal Care, 2013, 39(1):19-30
[15]郑晓倩.肿瘤放化疗患者心理弹性与治疗副反应和生存质量的关系研究[D]. 福建医科大学, 2013.
[16]田青, 姜亚芳, 向晶, 等.血液透析患者健康素养现状及其影响因素分析[J].中国护理管理, 2018, 18(4):492-496
[17]陈赟, 崔文英, 孙柳, 等.维持性血液透析患者心理弹性及应对方式的研究[J].中国血液净化, 2016, 15(1):55-57
[18]吴峻, 陈敏生, 穆兰, 等.对透析实行费用效果干预的必要性及其实施策略[J].中国医院管理, 2002, 22(3):40-42
[19]Bayliss E A, Ellis J L, Steiner J F.Barriers to self-management and quality-of-life outcomes in seniors with multimorbidities[J].Annals of Family Medicine, 2007, 5(5):395-398
[20]赵蔓, 孙春荣.型糖尿病患者心理弹性与自我管理行为的关系研究[J].齐鲁护理杂志, 2017, 23(3):34-36

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