Objective To explore the potential categories and influencing factors of benefit finding in peritoneal dialysis (PD) patients. Methods A total of 308 PD patients who were followed up in the General Hospital of Ningxia Medical University were selected as the study subjects. The general data questionnaire, Benefit Finding Scale, Medical Coping Modes Questionnaire, Perceived Social Support Scale, The Conor-Davidson Resilience Scale and Brief Illness Perception Questionnaire were used for questionnaire survey. Latent profile analysis was used to explore the potential categories of benefit finding in PD patients. Ordinal and multinomial logistic regression analysis was used to explore the influencing factors of each potential category. Results The benefit finding of PD patients can be divided into three potential categories: low benefit-family care deficiency group (52.9%), medium benefit-high acceptance group (38.0%) and high benefit-high personal growth group (9.1%). The results of regression analysis showed that the medical coping styles of facing (OR=1.245, 95% CI:1.115～1.390, P＜.001), yielding (OR=1.124, 95% CI:1.039～1.215, P=0.003), avoiding (OR=1.186, 95% CI:1.060～1.326, P=0.003), psychological resilience (OR=1.063, 95% CI:1.033～1.093, P＜0.001) and dialysis age (OR=0.170, 95% CI:0.069～0.413, P＜0.001) were the influencing factors for potential categories of benefit finding in PD patients. Conclusion There are obvious differences in the sense of benefit finding among PD patients. Clinical staff should formulate individualized intervention strategies according to different categories and characteristics.
WANG Yong-Ni
,
ZHAO Cai-Ping
,
MA Xiao-Qin
,
CHANG Ya-Nan
. Study on the classification of benefit finding and its influencing factors in peritoneal dialysis patients based on latent profile analysis[J]. Chinese Journal of Blood Purification, 2024
, 23(05)
: 387
-391
.
DOI: 10.3969/j.issn.1671-4091.2024.05.015
[1] Mok M M Y, Liu C K M, Lam M F, et al. A Longitudinal Study on the Prevalence and Risk Factors for Depression and Anxiety, Quality of Life, and Clinical Outcomes in Incident Peritoneal Dialysis Patients[J]. Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis, 2019,39(1):74-82.
[2] Chan G C, Ng J K, Chow K, et al. Depression does not predict clinical outcome of Chinese peritoneal Dialysis patients after adjusting for the degree of frailty[J]. BMC Nephrology, 2020,21(1).
[3] 苗金红, 李争艳, 孙莉莉, 等. 腹膜透析患者容量管理现状及其影响因素分析[J]. 中国护理管理, 2015,15(11):1323-1326.
[4] 周越, 单岩, 李艳艳, 等. 生活掌控感对腹膜透析病人容量管理行为的影响[J]. 护理研究, 2020,34(16):2827-2832.
[5] Bolton L. Preventing Peritoneal Dialysis Infections[J]. Wounds, 2019,31(6):163-165.
[6] Iida H, Fujimoto S, Wakita T, et al. Psychological Flexibility and Depression in Advanced CKD and Dialysis[J]. Kidney Med, 2020,2(6):684-691.
[7] Chan K M, Cheung C Y, Chan Y H, et al. Prevalence and impact of anxiety and depression in Chinese peritoneal dialysis patients: A single centre study: Anxiety and depression in PD patients[J]. Nephrology (Carlton, Vic.), 2018,23(2):155-161.
[8] Wen X, Wang D, Li N, et al. The construction of the structural equation model of burden, benefit finding, and anxiety-depression of esophageal cancer caregivers based on Lazarus stress and coping theory[J]. Annals of Palliative Medicine, 2021,10(7):7644-7652.
[9] 王孟成, 毕向阳. 潜变量建模与Mplus应用-进阶篇[M]. 重庆: 重庆大学出版社, 2018.
[10] 刘谆谆, 张兰凤, Gudenkauf Lisa. 癌症患者疾病获益感量表的跨文化调适[J]. 中华护理杂志, 2015,50(5):561-566.
[11] 沈晓红, 姜乾金. 医学应对方式问卷中文版701例测试报告[J]. 中国行为医学科学, 2000,9(1):18.
[12] 于肖楠, 张建新. 自我韧性量表与Connor-Davidson韧性量表的应用比较[J]. 心理科学, 2007,30(5):1169-1171.
[13] 姜乾金. 领悟社会支持量表[J]. 中国行为医学科学, 2001,10(10):41-43.
[14] 孙伟铭, 楼青, 袁也丰, 等. 简易版疾病认知问卷中文版在躯体化障碍患者中的应用[J]. 重庆医科大学学报, 2015,40(8):1138-1142.
[15] 何丽芳, 李倩倩, 甘香. 病耻感对中青年维持性血液透析患者心理痛苦的影响[J]. 中华护理杂志, 2022,57(21):2585-2591.
[16] 胥兴春. 认知情绪调节策略研究述评及其展望[J]. 江苏师范大学学报（哲学社会科学版）, 2014,40(1):148-153.
[17] 庞丹莉, 惠文焕. 维持性血液透析病人益处发现现状及其影响因素分析[J]. 蚌埠医学院学报, 2022,47(1):122-125.
[18] Petersson I, Lennerling A. Experiences of Living with Assisted Peritoneal Dialysis – A Qualitative Study[J]. Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis, 2017,37(6):605-612.
[19] Painter P L, Agarwal A, Drummond M. Physical Function and Physical Activity in Peritoneal Dialysis Patients[J]. Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis, 2017,37(6):598-604.
[20] Qiu X, Zhang K, Zhang Y, et al. Benefit Finding and Related Factors of Patients with Early-Stage Cancer in China[J]. International Journal of Environmental Research and Public Health, 2022,19(7):4284.
[21] Liu Z, Zhang L, Cao Y, et al. The relationship between coping styles and benefit finding of Chinese cancer patients: The mediating role of distress[J]. European Journal of Oncology Nursing, 2018,34:15-20.
[22] Taniguchi A, Mizuno M. Psychological stress and coping in recently discharged postsurgical cancer patients[J]. Asia-Pacific Journal of Oncology Nursing, 2016,3(2):176-182.
[23] 李耀霞, 杨巧红, 邱玮瑜, 等. 中青年首次急性心肌梗死患者疾病应对方式的质性研究[J]. 中国全科医学, 2022,25(24):2992-2997, 3012.
[24] Rosenberg A R, Bradford M C, Junkins C C, et al. Effect of the Promoting Resilience in Stress Management Intervention for Parents of Children With Cancer (PRISM-P)[J]. JAMA Network Open, 2019,2(9):e1911578.
