中国血液净化

中国血液净化 ›› 2016, Vol. 15 ›› Issue (04): 211-213.doi: 10.3969/j.issn.1671-4091.2016.04.006

• 临床研究 • 上一篇    下一篇

腹膜透析患者自我效能与生活质量及负性情绪的关系研究

黄静,林莉,谢香成,李真真,赵春晓   

  1. 解放军总医院(301 医院)肾脏病科、解放军肾脏病研究所、肾脏疾病国家重点实验室、国家慢性肾病临床医学研究中心
  • 收稿日期:2015-12-04 修回日期:2016-01-10 出版日期:2016-04-12 发布日期:2016-04-19

The relationship between self-efficacy and quality of life/negative emotion in peritoneal dialysis patients

  • Received:2015-12-04 Revised:2016-01-10 Online:2016-04-12 Published:2016-04-19

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摘要： 目的探讨腹膜透析患者自我效能与生活质量及负性情绪的关系。方法2014 年1～12 月选取68 例透析龄12 个月以内的腹膜透析患者为研究对象，采用自我效能量表、世界卫生组织生存质量测定量表简表(world health organization the quality of life-BREF，WHO QOL-BREF)、汉密尔顿焦虑量表(hamilton anxiety scale，HAMA)、汉密尔顿抑郁量表(hamilton depression scale，HAMD)对患者进行调查，分析腹膜透析患者自我效能与生活质量及负性情绪的关系。结果自我效能高水平组(≥7分)生理维度(15.98±3.45 比11.98±3.25，t=5.896，P=0.005)、心理维度(17.98±2.45 比13.22±2.56，t=4.986，P=0.011)、环境维度(17.98±3.02 比13.02± 3.78，t=5.412，P=0.006)、社会维度(17.36±2.72 比13.59±3.45，t=5.326，P=0.008)及生存质量总评分(56.78±4.25 比48.97±3.48，t=6.025，P=0.000)高于低水平组(＜7 分)，而HAMA 评分(12.98 ± 2.12 比15.25 ± 3.25，t=3.741，P=0.028)、HAMD 评分(13.98±3.02 比16.78±5.32，t=3.598，P=0.030)低于低水平组(＜7 分)。经pearson 相关分析可知，自我效能与心理维度(r=0.325，P=0.012)、社会维度(r=0.412，P=0.000)、生存质量总评分(r=0.347，P=0.005)呈正相关，而与HAMA(r=﹣0.348，P=0.010)、HAMD(r=﹣0.392，P=0.008)评分呈负相关。结论腹膜透析患者自我效能与生活质量及负性情绪有密切的关系，临床护理工作中可通过对患者进行健康宣教，进而提高患者自我效能，改善患者负性情绪，进而提高患者生活质量。

Abstract: Objective To investigate the relationship between self-efficacy and quality of life/negative emotion in peritoneal dialysis (PD) patients. Methods Sixty-eight patients with the dialysis age less than 12 months and treated in the period from Jan. 2014 to Dec. 2014 were enrolled in this study. These patients were evaluated by self- efficacy scale, World Health Organization the quality of life- BREF (WHO QOLBREF), Hamilton anxiety scale (HAMA), and Hamilton depression scale (HAMD). The relationship between self-efficacy and quality of life/negative emotion in PD patients were then analyzed. Results The total scores of physical dimension, psychological dimension, environmental dimension, social dimension, and the total scores of quality of life were higher in the high self-efficacy group (≥7) than in the low self-efficacy group (＜7), while the scores of HAMA and HAMD were lower in the high self-efficacy group than in the low self-efficacy group. Pearson correlation analysis found that self-efficacy was positively correlated with psychological dimension (r=0.325, P=0.012), social dimension (r=0.412, P=0.000), and total scores of quality of life (r= 0.347, P=0.005), and was negatively correlated with the scores of HAMA (r=-0.348, P=0.010) and HAMD (r=-0.392, P=0.008). Conclusions The self-efficacy of PD patients was closely related to quality of life/negative emotion. Through health education in the clinical nursing practice, their self- efficacy can be enhanced, the negative emotion can be diminished, and the quality of life can be improved.

Key words: peritoneal dialysis, self-efficacy, quality of life, negative emotion