血液透析患者希望水平及影响因素分析
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摘要
目的:调查血液透析患者希望水平情况,分析其影响因素。方法:采用便利抽样法,选择杭州市中医院血液净化中心201例血液透析患者,使用Herth希望量表测量其希望水平,同时收集患者的人口学资料、疾病相关资料,并对其影响因素进行分析。结果:201例血液透析患者的希望总体均分是(35.08±3.37)分、中位数是34分,处于中高等水平,经多重线性逐步回归分析显示患者的社会支持程度是其希望水平的独立影响因素(β=0.165,P=0.021)。结论:血液透析患者希望水平处于中高水平,社会支持与患者的希望水平呈正相关,临床中综合各种因素,提高患者的社会支持度,可以使患者获得更高的希望水平,增加患者积极情绪,提高患者治疗依从性和生活质量。
Objective: To evaluate the level of hope and its influencing factors in hemodialysis patients. Methods: A total of201 hemodialysis patients were recruited from the dialysis center in Hangzhou Traditional Chinese Medical Hospital and were investigated with the Herth Hope Scale and Social Support Scale. Linear regression was used to explore the main influencing factors of hope. Results: The mean score on the Herth Hope Scale was( 35. 08 ± 3. 37),the median score was 34.Linear regression showed that social support was the protective factor for hope level( β = 0. 165,P = 0. 021). Conclusion: The level of hope was at a medium-high level in hemodialysis patients,it may be influenced by social support. Improving the patient's social support can enable the patient to obtain higher hope level and increase the patient's positive emotion.
Objective: To evaluate the level of hope and its influencing factors in hemodialysis patients. Methods: A total of201 hemodialysis patients were recruited from the dialysis center in Hangzhou Traditional Chinese Medical Hospital and were investigated with the Herth Hope Scale and Social Support Scale. Linear regression was used to explore the main influencing factors of hope. Results: The mean score on the Herth Hope Scale was( 35. 08 ± 3. 37),the median score was 34.Linear regression showed that social support was the protective factor for hope level( β = 0. 165,P = 0. 021). Conclusion: The level of hope was at a medium-high level in hemodialysis patients,it may be influenced by social support. Improving the patient's social support can enable the patient to obtain higher hope level and increase the patient's positive emotion.
引文
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2 .徐慧君,周建芳,骆芬霞,等.维持性血液透析患者心理状况调查与相关因素分析.中医药管理杂志,2015,23(20):32-34.
3 .Robert W,Elena CS.A meta-analysis of hope enhancement strategies in clinical and community settings.Psychology of well-being,2011,1:5-20.
4 .赵静.不同透析方式患者希望水平与焦虑、抑郁状态的相关性研究.青海:青海大学,2015.
5 .赵海平,王健.血液透析患者的社会支持和希望.中华护理杂志,2000,35(5):306-308.
6 .肖水源.社会支持评定量表.中国心理卫生杂志,1993,7(增刊):42.
7 .高云,李亚洁,马瑞英.维持性血液透析患者希望水平影响因素分析.中国护理管理,2012,12(4):34-36.
8 .Stotland E.The psychology of hope.San Francisco:Jossey-Bass Inc,1969.49-51.
9 .Rustoen T,Howie J,Eidsmo I,et al.Hope in patients hospitalized with heart failure.Am J Crit Care,2005,14(5):417-425.
10 .周玉贞,阎成美,王艳华.维持性血液透析患者希望水平与应对方式的相关性研究.中国实用护理杂志,2008,24(12):52-53.
11 .Wang LY,Chang PC,Shih FJ,et al.Self-care behavior,hope,and social support in Taiwanese patients awaiting heart transplantation.J Psy-chosam Res,2006,61(4):485-491.
12 .Zhang J,Gao W,Wang P,et al.Relationships among hope,coping style and social support for breast cancer patients.Chin Med J,2010,123(17):2331-2335.
13 .Dufault K,Martocchio BC.Symposium Oil compassionate care and the Dying experience.Nurs Clin North Am,1985,20(2):379-391.
14 .Norbeck JS.The use of social support in clinical practice.Journal of Psychiatric Mental Health Science,1982,20(12):22-28.
15 .Weil CM.Exploring hope in patients with end stage renal disease on chronic hemodialysis.Nephrology Nursing Journal,2000,27(2):219-224.
16 .Arnaert A,Filteau N,Sourial R.Stroke patients in the acute care phase:Role of hope in self-healing.HOLISTIC Nursing Practice,2006,20(3):137-146.
2 .徐慧君,周建芳,骆芬霞,等.维持性血液透析患者心理状况调查与相关因素分析.中医药管理杂志,2015,23(20):32-34.
3 .Robert W,Elena CS.A meta-analysis of hope enhancement strategies in clinical and community settings.Psychology of well-being,2011,1:5-20.
4 .赵静.不同透析方式患者希望水平与焦虑、抑郁状态的相关性研究.青海:青海大学,2015.
5 .赵海平,王健.血液透析患者的社会支持和希望.中华护理杂志,2000,35(5):306-308.
6 .肖水源.社会支持评定量表.中国心理卫生杂志,1993,7(增刊):42.
7 .高云,李亚洁,马瑞英.维持性血液透析患者希望水平影响因素分析.中国护理管理,2012,12(4):34-36.
8 .Stotland E.The psychology of hope.San Francisco:Jossey-Bass Inc,1969.49-51.
9 .Rustoen T,Howie J,Eidsmo I,et al.Hope in patients hospitalized with heart failure.Am J Crit Care,2005,14(5):417-425.
10 .周玉贞,阎成美,王艳华.维持性血液透析患者希望水平与应对方式的相关性研究.中国实用护理杂志,2008,24(12):52-53.
11 .Wang LY,Chang PC,Shih FJ,et al.Self-care behavior,hope,and social support in Taiwanese patients awaiting heart transplantation.J Psy-chosam Res,2006,61(4):485-491.
12 .Zhang J,Gao W,Wang P,et al.Relationships among hope,coping style and social support for breast cancer patients.Chin Med J,2010,123(17):2331-2335.
13 .Dufault K,Martocchio BC.Symposium Oil compassionate care and the Dying experience.Nurs Clin North Am,1985,20(2):379-391.
14 .Norbeck JS.The use of social support in clinical practice.Journal of Psychiatric Mental Health Science,1982,20(12):22-28.
15 .Weil CM.Exploring hope in patients with end stage renal disease on chronic hemodialysis.Nephrology Nursing Journal,2000,27(2):219-224.
16 .Arnaert A,Filteau N,Sourial R.Stroke patients in the acute care phase:Role of hope in self-healing.HOLISTIC Nursing Practice,2006,20(3):137-146.