以质量求发展，以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (24): 32-35.doi: 10.16460/j.issn1008-9969.2019.24.032

Previous Articles     Next Articles

Ordinal Logistic Regression Analysis of Spiritual Health and Its Influence Factors of Maintenance Hemodialysis Patients: A 190-case Study

XUE Gui-fanga, ZHANG Ying-juna, QU Jiab   

  1. a. Hemodialysis Center, Dept. of Nephrology; b. School of Nursing, West China Hospital, Sichuan University, Chengdu 610041, China
  • Received:2019-10-25 Online:2019-12-25 Published:2020-07-20

PDF (PC)

229

Like

Abstract: Objective To understand the spiritual health status of maintenance hemodialysis patients and to explore its influence factors. Methods With convenient sampling, 190 hemodialysis patients regularly treated in a tertiary grade-A hospital in Chengdu from June to September 2019 were investigated by using a self-designed general information questionnaire, the Chinese version of the Functional Assessment of Chronic Illness Therapy Spirit (facit-sp-12) and the Family Care Index Scale. Ordinal logistic regression was used to analyze the influencing factors of spiritual health. Results The total score of spiritual health of maintenance hemodialysis patients was 25.79±6.44. Ordinal logistic analysis showed that self-rated sleep quality (OR=1.728, 95%CI:0.453~2.309) and family care (OR=1.657, 95%CI:0.258~2.239) were the influencing factors of the spiritual health (P<0.05). Conclusion The spiritual health of patients with maintenance hemodialysis is in a medium level. In clinical practice, the patients with poor sleep quality and severe family care disorders should be focused on. Targeted measures should be adopted to improve the spiritual health of patients.

Key words: maintenance hemodialysis, spiritual health, family care

CLC Number: 

  • R473.5
[1] Saran R, Robinson B, Abbott K C,et al.US Renal Data System 2017 Annual Data Report: Epidemiology of Kidney Disease in the United States[J]. Am J Kidney Dis,2018,71(3):A7. DOI:10.1053/j.ajkd.2018.01.002.
[2] Nordio M, Limido A, Maggiore U,et al.Survival in Patients Treated by Long-term Dialysis Compared with the General Population[J].Am J Kidney Dis,2012,59(6):819-28.DOI:10.1053/j.ajkd.2011.12.023.
[3] Levin A.Global Challenges in Kidney Diseases[J].Nephrol Dial Transplant,2018,33(3):371-372.DOI:10.1093/ndt/gfy037.
[4] Alradaydeh M F, Khalil A A.The Association of Spiritual Well-being and Depression among Patients Receiving Hemodialysis[J].Perspect Psychiatr Care,2018, 54(3):341-347. DOI:10.1111/ppc.12249.
[5] 萧宏恩,陈夏莲,蔡国山,等.灵性护理[M].台北:华杏出版社,2009:104-156.
[6] 邹丽燕,曹梅娟.国内外灵性健康测评工具的研究进展[J].护理学杂志,2017, 32(9):98-101.DOI:10.3870/j.issn.1001-4152.2017.09.098.
[7] Peterman A H, Fitchett G, Brady M J, et al.Measuring Spiritual Well-being in People with Cancer:The Functional Assessment of Chronic Illness Therapy-spiritual Well-being Scale (FACIT-Sp)[J].Ann Behav Med,2002, 24(1):49-58.DOI:10.1207/S15324796ABM2401-06.
[8] 刘翔宇,韦迪,谌永毅,等.中文版慢性疾病治疗功能评估-灵性量表在癌症患者中的信效度评定[J].中华护理杂志, 2016, 51(9):1085-1090.DOI:10.3761/j.issn.0254-1769.2016.09.014.
[9] Loureiro A C T, de Rezende Coelho M C, Coutinho F B, et al.The Influence of Spirituality and Religiousness on Suicide Risk and Mental Health of Patients Undergoing Hemodialysis[J]. Compr Psychiatry, 2018(80):39-45. DOI:10.1016/j.comoosych.2017.08.004.
[10] Jafari N, Farajzadegan Z,Loghmani A,et al.Spiritual Well-being and Quality of Life of Iranian Adults with Type 2 Diabetes[J]. Evid Based Complement Alternat Med, 2014(2014):619028. DOI:10.1155/2014/619028.
[11] Smilkstein G.Actions that Fly in the Face of Authority[J].J Family Pract,1978, 6(6):1231-1239.
[12] Smilkstein G, Ashworth C, Montano D.Validity and Reliability of the Family APGAR as a Test of Family Function[J].J Fam Pract, 1982,15(2):303-311.DOI:10.1016/0021-9681(82)90122-9.
[13] 陈凤. 慢性肾病维持性血液透析患者家庭功能与抑郁情绪的相关性分析[J].医学临床研究, 2013,30(11):2125-2127.DOI:10.3969/j.issn.1671-7171.2013.11.015.
[14] 张作记. 行为医学量表手册[M].北京:中华医学电子音像出版社,2005:156.
[15] Khan A, Khan A H,Adnan A S, et al.Prevalence and Predictors of Depression among Hemodialysis Patients:A Prospective Follow-up Study[J]. BMC Public Health,2019,19(1):531.DOI:10.1186/s12889-019-6796-z.
[16] 韩丹,杜晓莉,张银玲.335例维持性血液透析患者乐观现状及影响因素分析[J].护理学报,2017,241(13):57-61.DOI:10.16460/j.issn1008-9969.
[17] Cukor D, Ver Halen N, Asher D R,et al.Psychosocial Intervention Improves Depression, Quality of Life, and Fluid Adherence in Hemodialysis[J]. J Am Soc Nephrol,2014,25(1):196-206.DOI:10.1681/ASN.2012111134.
[18] Mirghaed M T, Sepehrian R, Rakhshan A,et al.Sleep Quality in Iranian Hemodialysis Patients: A Systematic Review and Meta-analysis[J]. Iran J Nurs Midwifery Res,2019,24(6):403-409. DOI:10.4103/ijnmr.IJNMR-184-18.
[19] Ellison C G, Bradshaw M, Storch J,et al.Religious Doubts and Sleep Quality: Findings from a Nationwide Study of Presbyterians[J].Rev Relig Res,2011,53(2):119-136.DOI:10.1007/s13644-011-0019-0.
[20] 杨静. 灵性对癌症患者康复的影响[D].南京:南京大学,2016.
[21] Shahgholian N, Yousefi H.Supporting Hemodialysis Patients: A Phenomenological Study[J].Iran J Nurs Midwifery Res, 2015,20(5):626-633.DOI:10.4103/1735-9066.164514.
[22] Yang B, Xu J, Xue Q,et al.Non-pharmacological Interventions for Improving Sleep Quality in Patients on Dialysis: Systematic Review and Meta-analysis[J]. Sleep Med Rev,2015,23:68-82.DOI:10.1016/j.smrv.2014.11.005.
[23] 王玉洁,路潜,国仁秀.癌症患者灵性需求与干预方法的研究进展[J].护理学报,2019,26(14):34-37.DOI:10.16460/j.issn1008-9969.2019.14.034.
[24] Sirois F M, Wood A M.Gratitude Uniquely Predicts lower Depression in Chronic Illness Populations: A Longitudinal Study of Inflammatory Bowel Disease and Arthritis[J].Health Psychol,2017,36(2):122-132.DOI:10.1037/hea0000436.
[1] XU Shi-lin, LIU Yun, WEN Luo-na, ZOU De-e, BAO Min-rui, LIANG Wei-feng, LIU Yan. Effect of Multidisciplinary Collaborative Intervention Program on Serum Phosphorus Levels in Patients with Hyperphosphatemia Undergoing Maintenance Hemodialysis [J]. Journal of Nursing, 2020, 27(6): 61-64.
[2] YUAN Li, XU Yi-yuan, DING Shu-zhen, FENG Hong. Current Status of Adjustment in Enterostomy Patients and Its Influence Factors [J]. Journal of Nursing, 2019, 26(15): 1-4.
[3] LUO Xiang-lian, HUANG Ya-lian, FANG Yan-chun, SONG Chun-lian, ZHU Ting, XU Jun-ming. Effect of Group Laughter Yoga on Quality of Life of Maintenance Hemodialysis Patients [J]. Journal of Nursing, 2018, 25(22): 1-5.
[4] MA Hui, YANG Fu-guo, LU Xiao-hong, XIA Ting-ting, YIN Chun-lan, LI Yao-yao. Influence Factors of Self-management Behavior of Patients with Percutaneous Coronary Intervention [J]. Journal of Nursing, 2018, 25(20): 1-4.
[5] DU Lan-yu, HU Xia, WANG Xiang-hong, LIU Hai-na, REN Lei, ZHU Xiao-xiu, DUAN You-ping. Prevalence of Frailty in Patients with Maintenance Hemodialysis and Its Effect on Prognosis [J]. Journal of Nursing, 2018, 25(20): 37-41.
[6] MAO Zhi-hui,LIU Xiao-ting,LIU Wei,SUN Xiao-ting,LIU Yan-xia,LI Wei. Depression of 265 Caregivers of Disabled Elders in Huanggu District of Shenyang City and Its Influence Factors [J]. , 2017, 24(2): 32-36.
[7] JIANG Chang-ying,ZANG Wei-ping,WEI Feng,SHI Xiu-hua. Effects of Caregiving Training for Family Caregivers of Senile Dementia Patients in Community [J]. Journal of Nursing, 2017, 24(16): 71-73.
[8] ZHOU Yong-hong,ZHONG Hua-juan,XU Shan-shan,WANG Yu-yuan,LIU Li,LI Jun,LI Shou-li,LI Rui-xia,MOU Yu-ying,YANG Hai-kui. Hospice Care Integrating Community Quality Health Service with Family Care:A 60-case Study [J]. , 2016, 23(14): 71-75.
[9] QIU Xiao-ran,HE Cai-yun. Fluid Intake Compliance of Maintenance Hemodialysis Patients and Its Influencing Factors [J]. Journal of Nursing, 2015, (6): 6-10.
[10] SHEN Jiao-jiao,WANG Xiao-dong,ZHANG Ya-li. Effect of Auricular-plaster Therapy on Constipation in Patients with Maintenance Hemodialysis [J]. Journal of Nursing, 2015, (1): 62-64.
[11] YANG Zhi-fang,FU Ju-fang,ZUO Xiu-ping,WANG Hong-mei,WANG Mei-xia,TANG Ling,GAO Miao,GUO Si-jin. Quality of Life of Family Caregivers of Patients with Advanced Cancer and lts lnfluencing Factors [J]. Journal of Nursing, 2014, (21): 1-5,6.
[12] CHEN Xiao,CHEN Xiao-ying. Self-care Agency of AIDS Patients Undergoing Anti-virus Treatment and Its Influencing Factors [J]. Journal of Nursing, 2014, (2): 1-4.
[13] . Willingness of Caregivers of Seniors to Pay Home Rehabilitation Care Services and Its Influencing Factors [J]. Journal of Nursing, 2013, (3): 24-27.
[14] TANG Chun-yuan,YE Xiao-qing,WANG Rao-ping. Relationship between Nutritional Status and Sleep Quality in Maintenance Hemodialysis Patients [J]. Journal of Nursing, 2013, (13): 18-21.
Viewed
Full text


Abstract

Cited
  Shared   
[1] XIA Ting-ting,WANG Shu-yun,YANG Fu-guo,MA Hui,YIN Chun-lan,WANG Guang-ning,FAN Hai-xia,LI Yao-yao. Association of Stoma Pressure with Hope Level and Self-management among Colostomy Patients[J]. Journal of Nursing, 2018, 25(18): 8 -11 .
[2] WANG Jing,LIU Rui-han,GONG Wen-hua,ZOU Yu,WANG Yu,WANG Fang. Mediating Effect of Self-efficacy between Social Support and Resilience in Type 2 Diabetic Patient[J]. Journal of Nursing, 2018, 25(18): 12 -15 .
[3] JIANG Wen-chun,WEN Xian-xiu,GU Feng-jiao. Construction of Nursing Management Quality Evaluation Standard System in Hemodialysis Room with Delphi Method and Analytic Hierarchy Process[J]. Journal of Nursing, 2018, 25(18): 16 -21 .
[4] LIU Li-ping, WU Yan-ni, CONG Wei-lian, HU Ming-yu, LI Xiao-xia, ZHOU Chun-lan. Qualitative Studies on Self-care Experience of Cancer Patients undergoing Chemotherapy:A Systematic Review[J]. Journal of Nursing, 2020, 27(7): 1 -6 .
[5] SUN Wen-yu, BI Hong-yan. Effects of Visual Tracking Training on Walking Function and Daily Living Ability in Patients with Stroke[J]. Journal of Nursing, 2020, 27(7): 7 -10 .
[6] . [J]. Journal of Nursing, 2020, 27(7): 11 -14 .
[7] RAN Li-wei, DONG Qu-long, LI Gui-qing, ZHANG Yan, SUN Chao-ying, LIU Hong-qing, SU Yu-mei, SHI Hai-xia. Impact of Development-oriented Performance Appraisal on Midwives' Behaviors[J]. Journal of Nursing, 2019, 26(18): 12 -14 .
[8] . [J]. Journal of Nursing, 2019, 26(18): 15 -17 .
[9] . [J]. Journal of Nursing, 2019, 26(18): 18 -21 .
[10] HE Wen-bin, LIAO Raon, YIN Xi, YANG Qian, HU Jun'e, YAN Yan, ZHOU Xue-guo, YAO Xiao-yun, CHEN Hong-yu. Evidence Summary for Cardiac Rehabilitation in Patients after Cardiac Valve Replacement[J]. Journal of Nursing, 2019, 26(18): 32 -36 .