积极心理学视角下维持性血液透析患者生活质量现状及影响因素分析

doi:10.16460/j.issn1008-9969.2023.02.012

护理学报 ›› 2023, Vol. 30 ›› Issue (2): 12-16.doi: 10.16460/j.issn1008-9969.2023.02.012

积极心理学视角下维持性血液透析患者生活质量现状及影响因素分析

何万巧^1,2, 盖薇¹, 周春兰³, 张艺祯¹, 陶艳玲²

1.广州中医药大学深圳临床医学院,广东深圳 518116;
2.深圳市龙岗中心医院护理部,广东深圳 518116;
3.南方医科大学南方医院,广东广州 510515

收稿日期:2022-09-23 出版日期:2023-01-25 发布日期:2023-02-22
通讯作者: 陶艳玲（1973-）,女,江西九江人,硕士,主任护师,硕士研究生导师。E-mail:s0885392@usls.edu.ph
作者简介:何万巧（1997-）,女,四川古蔺人,本科学历,硕士研究生在读,护士。
基金资助:
2021年度广东省基础与应用基础研究基金项目（2021A1515011865）

Current status of quality of life of maintenance hemodialysis patients from perspective of positive psychology and its influencing factors

HE Wan-qiao^1,2, GAI Wei¹, ZHOU Chun-lan³, ZHANG Yi-zhen¹, TAO Yan-ling²

1. Shenzhen Clinical Medical College, Guangzhou University of Chinese Medicine, Shenzhen, 518116, China;
2. Dept. of Nursing Administration, Longgang Central Hospital of Shenzhen, Shenzhen, 518116, China;
3. Nanfang Hospital, Southern Medical University, Guangzhou 510515,China

Received:2022-09-23 Online:2023-01-25 Published:2023-02-22

摘要/Abstract

摘要： 目的探讨维持性血液透析患者的生活质量现状及影响因素。方法采用便利抽样方法抽取258例维持性血液透析患者,运用中文版慢性病自我效能量表、中文版简易心理弹性量表和中文版生活质量量表对其进行测量,采用多元线性回归分析生活质量影响因素。结果维持性血液透析患者生活质量的8个维度得分均低于国内常模;多元线性回归分析结果显示,年龄、心理弹性和自我效能的症状管理维度可预测维持性血液透析患者的生理健康总评（调整R²=0.253,P<0.001）;每日尿量、医疗费用支付方式、心理弹性和自我效能的症状管理维度可预测维持性血液透析患者的心理健康总评（调整R²=0.375,P<0.001）。结论维持性血液透析患者的生活质量水平较低,且除一般资料中的年龄、每日尿量和医疗费用支付方式外,自我效能和心理弹性是其生活质量的重要预测因子。提示医护人员在临床工作中可提高对患者积极心理因素的关注,针对性采取措施改善其生活质量。

关键词: 维持性血液透析, 生活质量, 影响因素, 积极心理学

Abstract: Objective To explore the status quo of quality of life in maintenance hemodialysis patients and its influencing factors. Methods Convenient sampling was used to select 258 maintenance hemodialysis patients, and they were surveyed by using Self-efficacy for Managing Chronic Disease 6-item Scale, 10-item Connor-Davidson Resilience Scale and Short From of 36 Health Survey Questionnaire Scale. Multivariate linear regression analysis was used to analyze the influencing factors of quality of life. Results The score of eight dimensions of quality of life in maintenance hemodialysis patients was lower than the norm in China. Multivariate linear regression analysis showed that age, psychological resilience and symptom management could predict the physical component summary of maintenance hemodialysis patients (adjusted R²=0.253,P<0.001); and daily urine volume, medical expense payment, psychological resilience and symptom management could predict the mental component summary of maintenance hemodialysis patients (adjusted R²=0.375, P<0.001). Conclusion Maintenance hemodialysis patients have lower quality of life, and in addition to general information such as age, daily urine volume and medical expense payment, self-efficacy and psychological resilience are also important predictors of their quality of life. It is suggested more attention should be paid to positive psychological factors of patients in clinical practice, and targeted measures should be taken to improve their quality of life.

Key words: maintenance hemodialysis, quality of life, influencing factor, positive psychology

中图分类号:

R471

何万巧, 盖薇, 周春兰, 张艺祯, 陶艳玲. 积极心理学视角下维持性血液透析患者生活质量现状及影响因素分析[J]. 护理学报, 2023, 30(2): 12-16.

HE Wan-qiao, GAI Wei, ZHOU Chun-lan, ZHANG Yi-zhen, TAO Yan-ling. Current status of quality of life of maintenance hemodialysis patients from perspective of positive psychology and its influencing factors[J]. Journal of Nursing, 2023, 30(2): 12-16.

参考文献

[1] Wu YH, Hsu YJ, Tzeng WC.Correlation between physical activity and psychological distress in patients receiving hemodialysis with comorbidities: a cross-sectional study[J]. Int J Environ Res Public Health, 2022, 19(7).DOI:10.3390/ijerph19073972.
[2] Samoudi AF, Marzouq MK, Samara AM, et al.The impact of pain on the quality of life of patients with end-stage renal disease undergoing hemodialysis: a multicenter cross-sectional study from Palestine[J]. Health Qual Life Outcomes, 2021, 19(1):39.DOI:10.1186/s12955-021-01686-z.
[3] 郑雯雯,鲁春红,吕桂兰,等.222例维持性血液透析患者的病耻感现状及影响因素分析[J].护理学报,2020,27(14):44-48.DOI:10.16460/j.issn1008-9969.2020.14.044.
[4] De Alencar SBV, Dias LDA, Dias VDA, et al.Quality of life may be a more valuable prognostic factor than depression in older hemodialysis patients[J]. Qual Life Res, 2020, 29(7):1829-1838. DOI:10.1007/s11136-020-02445-1.
[5] 张丽珍,洪燕玲,李红,等.肺癌化疗期患者心理弹性与生活质量和情绪状态相关性研究[J].中国预防医学杂志,2019,20(6):510-514. DOI:10.16506/j.1009-6639.2019.06.007.
[6] 张诗毅,陈伟菊.积极心理学在脑卒中病人护理中的应用研究[J].护理研究,2018,32(13):2023-2026.DOI:10.12102/j.issn.1009-6493.2018.13.010.
[7] 胡雁,王志稳.护理研究[M].5版.北京:人民卫生出版社,2017:102-103.
[8] 胡仁. 维持性血液透析患者负性情绪、自我效能与治疗依从性的相关性研究[D].湖南师范大学,2019.
[9] Lorig KR, Sobel DS, Ritter PL, et al.Effect of a self-management program on patients with chronic disease[J]. Eff Clin Pract, 2001, 4(6):256-262.
[10] Wang L, Shi Z, Zhang Y, et al.Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese earthquake victims[J]. Psychiatry Clin Neurosci, 2010, 64(5):499-504.DOI: 10.1111/j.1440-1819.2010.02130.x.
[11] Lins L, Carvalho FM.Sf-36 total score as a single measure of health-related quality of life: scoping review[J]. SAGE Open Med, 2016, 4:2103743725.DOI:10.1177/2050312116671725.eCollection2016.
[12] Pekmezović T, Ječmenica-Lukić M, Petrović I, et al.Quality of life in patients with progressive supranuclear palsy:one-year follow-up[J]. J Neurol, 2015, 262(9):2042-2048.DOI: 10.1007/s00415-015-7815-3.
[13] 何燕,赵龙超,刘丹萍,等.SF-36和SF-12在人群生命质量调查中的性能比较研究[J].现代预防医学, 2017,44(5):852-862.
[14] 殷贵兰,傅荣,宋玉磊.102例维持性血液透析患者生活质量及其影响因素分析[J].护理学报,2017,24(2):1-4.DOI:10.16460/j.issn1008-9969.2017.02.001.
[15] Fletcher BR, Damery S, Aiyegbusi OL, et al.Symptom burden and health-related quality of life in chronic kidney disease: a global systematic review and meta-analysis[J]. Plos Med, 2022,19(4):e1003954.DOI:10.1371/journal.pmed.1003954.
[16] 刘东玮,周郁秋,孙玉静,等.自我效能对精神分裂症心理弹性的影响:自尊与应对方式的链式中介效应研究[J].中国全科医学,2019, 22(5):549-554.DOI:10.12114/j.issn.1007-9572.2018.00.301.
[17] 罗静, 张颖君, 陈林. 中青年维持性血液透析患者心理弹性与领悟社会支持及生活质量的相关性研究[J].中国血液净化, 2020, 19(5):350-352.DOI:10.3969/j.issn.1671-4091.2020.05.017.
[18] 谢思琦, 马颖, 崔敏, 等.老年人心理弹性与生活质量关系的meta分析[J].中国心理卫生杂志, 2022, 36(1):56-61.DOI:10.3969/j.issn.1000-6729.2022.01.009.
[19] 郑志贵,何东元,陈建国.75岁及以上老年血透患者生活质量及影响因素[J].中国老年学杂志, 2021,41(17):3849-3852.DOI:10. 3969/j.issn.1005-9202.2021.17.060.
[20] 王功卫,马兰,曹娜.血液透析成人患者心理弹性与生活质量的相关性分析[J].检验医学与临床, 2020,17(2):243-246.DOI:10.3969/j.issn.1672-9455.2020.02.032.
[21] 彭巧英. 感恩干预对维持性血液透析患者感恩水平和心理弹性的影响[J].解放军护理杂志, 2019, 36(9):64-66.DOI:10.3969/j.issn.1008-9993.2019.09.01.
[22] 严晓英, 郑麟, 周金妹.授权健康教育对维持性血液透析患者自我效能及自我管理的影响[J].中国健康教育, 2018, 34(5):452-455. DOI:10.16168/j.cnki.issn.1002-9982.2018.05.016.

Metrics

Viewed

Full text

Abstract

Cited

Shared

积极心理学视角下维持性血液透析患者生活质量现状及影响因素分析

Current status of quality of life of maintenance hemodialysis patients from perspective of positive psychology and its influencing factors

PDF (PC)

赞

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

Metrics

本文评价

推荐阅读 10

[1]	姜硕, 马靓, 苗晓. 脑出血术后患者家属家庭抗逆力现况及影响因素分析[J]. 护理学报, 2023, 30(2): 7-11.
[2]	鞠洪杰, 刘卫, 王杰, 尹安春. 住院患者尊严影响因素的研究进展[J]. 护理学报, 2023, 30(2): 44-47.
[3]	弋新, 陈刚, 刘晓云, 黄婵, 叶艳, 吴霜. 积极心理学视阈下护士心盛现状及影响因素分析[J]. 护理学报, 2023, 30(1): 67-71.
[4]	程青云, 张艳, 田雨同, 许冰, 鹿艺馨, 李晓华, 高月, 高梦珂. 924名三级甲等医院临床护士在线学习力现状及影响因素分析[J]. 护理学报, 2023, 30(1): 1-6.
[5]	苏孟宇, 王真, 吴金凤, 李晓燕, 张玉玺. 临床护士开展哀伤辅导的现状及研究进展[J]. 护理学报, 2022, 29(9): 26-30.
[6]	燕文娟, 李壮苗, 余梦婷, 李施恩, 池艳红. 脑卒中患者病耻感影响因素的系统评价[J]. 护理学报, 2022, 29(8): 46-52.
[7]	施冰梓, 杨素云, 辛笛诺. ¹³¹I治疗分化型甲状腺癌患者被服辐射残余剂量率影响因素分析及防护建议[J]. 护理学报, 2022, 29(7): 69-73.
[8]	张杰兰, 赖先婷, 余兆兰, 柯艾均, 徐铁飞, 鞠梅. 维持性血液透析患者配偶恐惧疾病进展的现状及影响因素分析[J]. 护理学报, 2022, 29(7): 17-22.
[9]	吴文婧, 顾楠楠, 于丹, 宫润琦. 格林模式在初产妇产褥期护理中的应用研究 [J]. 护理学报, 2022, 29(4): 76-79.
[10]	黄晓琳, 陈冬兰, 王毅, 杨玉颖. 438例中青年鼻咽癌患者疾病感知现状及影响因素分析[J]. 护理学报, 2022, 29(24): 55-58.
[11]	李佳欣, 刘子薇, 尚娅萌, 王莹莹, 张亚娟, 栗跃歌, 刘芳丽. 癌症患者久坐行为的研究进展[J]. 护理学报, 2022, 29(23): 22-27.
[12]	张艺琳, 董晓雨, 赵秋阁, 张秀婷, 杨梅, 王美, 范秀珍. 基于潜在剖面分析的护士良心压力分型及其影响因素[J]. 护理学报, 2022, 29(22): 6-10.
[13]	刘玉英, 陈晶. 大五人格在儿科护士压力负荷与职业生活质量间的调节效应[J]. 护理学报, 2022, 29(20): 44-49.
[14]	卫玉齐, 王瑞瑞, 杨霞, 安丛丛, 杨婷, 杨学诗, 刘彦慧. 脑卒中吸烟患者尼古丁依赖现状及影响因素分析[J]. 护理学报, 2022, 29(18): 1-5.
[15]	吴晓芬, 王丽洁, 王宁, 苏婷, 李夕然, 梁津, 王双, 张嘉怡, 黄秋娜. 老年人家属临终关怀决策的影响因素分析[J]. 护理学报, 2022, 29(18): 12-17.