中国血液净化

中国血液净化 ›› 2021, Vol. 20 ›› Issue (04): 285-288.doi: 10.3969/j.issn.1671-4091.2021.04.016

• 护理研究 • 上一篇    

维持性血液透析患者恐惧疾病进展及影响因素分析

张政1,陈星彤1,孙丽娜1,丁淑贞1   

  1. 1大连医科大学附属第一医院护理部
  • 收稿日期:2020-10-10 修回日期:2021-01-11 出版日期:2021-04-12 发布日期:2021-04-12
  • 通讯作者: 丁淑贞 dsz51@163.com E-mail:dsz51@163.com

Analysis of the fear of disease progression and its influencing factors in maintenance hemodialysis patients

  1.  1Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
  • Received:2020-10-10 Revised:2021-01-11 Online:2021-04-12 Published:2021-04-12

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摘要： 【摘要】目的了解维持性血液透析患者恐惧疾病进展现状，并探究其影响因素，为后续研究提供新的理论依据。方法采用便利抽样方法抽取2019年11月～2020年02月在大连医科大学附属第一医院进行维持性血液透析的患者172例，使用一般资料调查表、恐惧疾病进展简化量表、亲密关系体验量表对患者进行问卷调查。结果172例维持性血液透析患者恐惧疾病进展总分为(30.58±4.31)分。维持性血液透析患者恐惧疾病进展总分及其生理健康、社会家庭2个维度与成人依恋的依恋焦虑维度呈正相关(r值分别为0.219、0.185、0.152，P值分别为0.004、0.015、0.047),与依恋回避维度也呈正相关(r值分别为0.273、0.197、0.222，P值分别为＜0.001、0.009、0.003)。多元线性回归分析结果显示文化程度、主要陪护者、兴趣爱好及成人依恋2 个维度是恐惧疾病进展的影响因素(β 值分别为- 0.224、0.210、-0.249、0.184、0.267，P 值分别为0.001、0.003、0.001、0.011、＜0.001)。结论维持性血液透析患者恐惧疾病进展处于中等水平，应根据不同的影响因素采取相应的措施降低患者恐惧疾病进展水平，对促进患者身心健康有重要意义。

关键词: 血液透析, 恐惧疾病进展, 成人依恋, 影响因素

Abstract: 【Abstract】Objective To understand the fear of disease progression in maintenance hemodialysis (MHD) patients and to explore its influencing factors, so as to provide a new theoretical basis for follow-up study. Methods A total of 172 MHD patients treated in The First Affiliated Hospital of Dalian Medical University from November 2019 to February 2020 were selected by means of the convenience sampling method. Questionnaires, including the General Data Questionnaire, the Fear of Progression QuestionnairEshort form, and the Experiences in Close Relationships Inventory, were used. Results The overall score of fear of disease progression was 30.58±4.31 in the 172 MHD patients. The overall score of fear of disease progression and the two dimensions of physical health and social family were positively correlated with the attachment anxiety dimension of adult attachment (r=0.219, 0.185 and 0.152 respectively; P=0.004, 0.015 and 0.047 respectively), and were also positively correlated with the attachment avoidance (r=0.273, 0.197 and 0.222 respectively; P<0.001, 0.009 and 0.003 respectively). Multiple linear regression analysis showed that education level, primary caregivers, hobbies and two dimensions of adult attachment were the influencing factors for fear of disease progression (β=-0.224, 0.210, -0.249, 0.184, and 0.267 respectively; P=0.001, 0.003, 0.001,
0.011 and <0.001 respectively). Conclusion The degree of fear of disease progression in MHD patients was in a medium level. We should take appropriate measures based on the influencing factors to reduce the fear of disease progression and to promote the physical and mental health in MHD patients.

Key words: Hemodialysis, Fear of progression, Adult attachment, Influence factor

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