中国血液净化

中国血液净化 ›› 2016, Vol. 15 ›› Issue (01): 55-57.doi: 10.3969/j.issn.1671-4091.2016.01.015

• 护理园地 • 上一篇    下一篇

维持性血液透析患者心理弹性及应对方式的研究

陈赟1,崔文英2,孙柳1,王艳玲1   

  1. 1. 首都医科大学护理学院(陈赟为2009级护理本科生)
    2. 首都医科大学附属友谊医院
  • 收稿日期:2015-07-31 修回日期:2015-10-11 出版日期:2016-01-12 发布日期:2016-05-19
  • 通讯作者: 王艳玲 wangyanling_eliza@126.com E-mail:chenyun26@163.com

Survey of psychological resilience level and coping style in maintenance hemodialysis patients

  • Received:2015-07-31 Revised:2015-10-11 Online:2016-01-12 Published:2016-05-19

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摘要： 目的探讨维持性血液透析患者心理弹性及应对方式，为维持性血液透析患者的康复提供依据。方法采用心理弹性量表和医学应对问卷对212 名维持性血液透析患者进行问卷调查。结果维持性血液透析患者心理弹性得分63.80±11.35，低于中国社区人群平均水平(t=-2.049，P=0.042);血液透析患者的应对方式以屈服为主，其文化程度、家庭收入、家庭关系、合并疾病情况、工作状况不同，心理弹性得分不同，差异有统计学意义(P＜0.05); 血液透析患者的医学应对方式中面对应对(r=0.391，P ＜0.001)和屈服应对(r=-0.443，P ＜0.001)与其心理弹性得分具有相关性。结论对维持性血液透析患者的心理弹性和应对方式进行研究，可以更全面的了解长期维持性透析患者的心理状况，为有针对性的提高患者的心理弹性以及更好的应对长期透析所带来的负性情绪，提高患者的身心健康提供依据。

关键词: 血液透析, 心理弹性, 应对方式, 相关因素

Abstract: Objective The aim of this study was to explore the resilience and coping modes in maintenance hemodialysis (MHD) patients in order to provide a basis for their rehabilitation. Methods A total of 212 MHD patients were tasted with Connor-Davidson resilience scale (CD-RISC) and Medical Coping Modes Questionnaire (MCMQ). Result The score of resilience was 63.80±11.35, lower than the score in normal people (t=-2.049, P=0.042), and resignation was the main coping style in these patients. The score of resilience was significantly different in MHD patients with different education level, income, relationship in family, other complicated diseases, and job (P＜0.05). Conclusion The results let us understand more about the psychological conditions in MHD patients and take specific measures to reduce their negative emotions to keep them psychologically healthy.

Key words: Hemodialysis, Resilience, Coping Modes, Relative factors