中国血液净化

中国血液净化 ›› 2023, Vol. 22 ›› Issue (05): 392-395.doi: 10.3969/j.issn.1671-4091.2023.05.017

• 护理研究 • 上一篇    下一篇

维持性血液透析患者经验性回避的现状及影响因素分析

罗 娜   丁淑贞
  

  1. 116011 大连，1大连医科大学附属第一医院护理部
  • 收稿日期:2022-11-21 修回日期:2023-02-17 出版日期:2023-05-12 发布日期:2023-05-12
  • 通讯作者: 丁淑贞 E-mail:dsz51@163.com

Analysis of experiential avoidance and its influencing factors in maintenance hemodialysis patients   

LUO Na,  DING Shu-zhen   

  1. Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
  • Received:2022-11-21 Revised:2023-02-17 Online:2023-05-12 Published:2023-05-12
  • Contact: 116011 大连，1大连医科大学附属第一医院护理部 E-mail:dsz51@163.com

PDF

40

摘要： 目的 了解维持性血液透析患者经验性回避现状，探究其影响因素，为临床应用提供理论依据。 方法 采用方便抽样法抽取2021年10月～2022年1月大连医科大学附属第一医院血液透析中心的患者，采用一般资料调查表、接纳与行动问卷第二版、患者积极度量表、益处发现量表进行调查。 结果 200例患者经验性回避总分为(23.74±6.36)分。经验性回避总分与患者积极度总分及各维度均呈负相关(认知维度r=-0.263，P＜0.001；技能维度r=-0.464，P＜0.001；行动维度r=-0.326,P＜0.001；信念维度r=-0.271,P =0.001；积极度总分r=-0.515，P＜0.001)；与益处发现总分及各维度均呈负相关(接纳维度r=-0.492,P＜0.001；家庭关系维度r=-0.344，P=0.002；世界观维度r=-0.319,P＜0.001；个人成长维度r=-0.336,P＜0.001；社会关系维度r=-0.374,P＜0.001；健康维度r=-0.348,P＜0.001；益处发现总分r=-0.544,P＜0.001)。多元线性回归分析发现文化程度(β=-0.162，P =0.001)、家庭人均月收入(β=   -0.124，P =0.011)、血液透析时间(β=-0.299，P＜0.001)、个人爱好(β=-0.192，P＜0.001)、患者积极度(β=-0.230，P＜0.001)、益处发现(β=-0.311,P＜0.001)是经验性回避的影响因素。 结论 维持性血液透析患者经验性回避水平处于中等，提示医护人员应该重视患者回避情况，结合相关影响因素，制定个性化护理方案来帮助患者降低回避水平，促进患者身心健康。

关键词: 血液透析, 经验性回避, 患者积极度, 影响因素

Abstract: Objective To understand the experiential avoidance in maintenance hemodialysis (MHD) patients and to explore its influencing factors so as to provide  theoretical basis for follow-up study.  Methods  A total of 200 MHD patients treated in The First Affiliated Hospital of Dalian Medical University from October 2021 to January 2022 were selected by means of the convenience sampling method. They were assessed by Acceptance Action Questionnaire, Patient Activation Measure 13, Benefit Finding Scale, and General Data Questionnaire. SPSS 26.0 software was used to process the data.  Results  The overall score of experiential avoidance was 23.74±6.356 in the patients (P＜0.050). The overall score of experiential avoidance was negatively correlated with the overall score of activation and the scores of its dimensions (cognition dimension: r=-0.263, P＜0.001; skill dimension: r=-0.464, P＜0.001; action dimension: r=-0.326, P=0.001; faith dimension: r=-0.271, P＜0.001; overall score of activation: r=-0.515, P＜0.001), and the overall score of benefit finding and the scores of its dimensions (acceptance dimension: r=-0.492, P<0.001; family relationship dimension: r= -0.344, P=0.002; world outlook dimension: r=-0.319, P＜0.001; personal growth dimension: r=-0.336, P＜0.001; social relation dimension: r=-0.374, P＜0.001; health dimension: r=-0.348, P＜0.001; overall score of benefit finding: r=-0.544, P<0.001). Multivariate linear regression showed that educational level (β=-0.162, P=0.001), average monthly income per family member (β=-0.124, P＝0.011), hemodialysis year (β=-0.299, P<0.001), hobbies (β=-0.192, P＜0.001), patient activation (β=-0.230, P＜0.001) and benefit finding (β=         -0.311, P＜0.001) were the influencing factors for experiential avoidance.  Conclusion  The status of experiential avoidance in MHD patients was found in a medium level. We should take appropriate measures based on the influencing factors to reduce the level of experiential avoidance and to promote physical and mental health of MHD patients.

Key words: Hemodialysis, Experiential avoidance, Patient activation, Influence factor

中图分类号: