中国血液净化

中国血液净化 ›› 2017, Vol. 16 ›› Issue (11): 774-777.doi: 10.3969/j.issn.1671-4091.2017.011.015

• 透析心理学 • 上一篇    下一篇

血液透析患者焦虑抑郁情绪与简易应对方式及创伤后成长的相关性研究

武向兰1,李月红1   

  1. 1. 北京清华长庚医院肾内科
  • 收稿日期:2017-05-19 修回日期:2017-09-08 出版日期:2017-11-12 发布日期:2017-10-27
  • 通讯作者: 李月红liyuehong0616@163.com E-mail:liyuehong0616@163.com
  • 基金资助:

    北京清华长庚医院院级护理基金赞助(项目编号：22016C1008)

Studies on the correlation of anxiety and depression to simple coping style and post-traumatic growth in maintenance hemodialysis patients

  • Received:2017-05-19 Revised:2017-09-08 Online:2017-11-12 Published:2017-10-27

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摘要： 目的焦虑与抑郁是慢性透析患者常见的负性情绪,会影响生活质量和心理健康，通过调查维持性血液透析患者焦虑和抑郁情绪的发生状况、应对方式及“创伤(血液透析)”后心理上的转变，为积极的临床心理护理提供依据。方法采用医院焦虑抑郁情绪量表、简易应对方式问卷及创伤后成长量表对83 名维持性血液透析患者调查，采用SPSS18.0 软件进行统计学分析。结果①焦虑情绪阳性者15 例(18.07%)，抑郁情绪阳性者35 例(42.17%)。②焦虑情绪阳性的患者与简易应对方式问卷中积极应对因子(r=-0.254,P=0.021)呈负相关，与消极应对因子(r=0.257,P=0.019)呈正相关。与创伤后成长中自我转变(r=-0.221,P=0.045)、新的可能性(r=-0.227, P=0.013)、与他人关系(r=-0.247,P=0.025)各维度呈负相关。③抑郁情绪阳性的患者与医疗负担(F=5.39,P=0.006) 呈正相关，与简易应对方式问卷中积极应对因子(r=-0.368,P=0.001)呈负相关，与消极应对因子(r=0.312,P=0.004)呈正相关。与创伤后成长总分(r=-0.353,P=0.001)、自我转变(r=-0.217,P=0.049)、新的可能性(r=-0.371,P=0.001)、个人力量(r=-0.228,P=0.038)、人生感悟(r=-0.329,P=0.002)、与他人关系(r=-0.250,P=0.023)各维度呈负相关。结论持续血液透析患者中普遍存在焦虑和抑郁情绪，在临床护理工作中应给与积极的心理疏导，通过积极的应对方式，提高患者创伤后成长水平。

关键词: 血液透析, 焦虑和抑郁, 医院焦虑抑郁情绪量表, 创伤后成长量表

Abstract: Objective Anxiety and depression are common negative emotions in dialysis patients, which affect quality of life and mental health. The anxiety and depression, coping styles and psychological changes after "trauma (hemodialysis)" were investigated in maintenance hemodialysis patients in order to provide the evidences for clinical psychological nursing. Methods A total of 83 patients were observed. We adopted hospital anxiety and depression mood scale, simple coping style questionnaire, and posttraumatic growth scale for the investigation to these patients. SPSS 18.0 software was used for statistical analyses. Results ①Fifteen cases (18.07%) were suspected of or diagnosed as having anxiety symptoms, and 35 (42.17%) cases were suspected of or diagnosed as having depression. ②Anxiety in the patients was negatively correlated to positive coping factor (r=-0.254, P=0.021) in the simple coping style questionnaire, positively correlated to the negative coping factors (r=0.257, P=0.019), and negatively correlated to self- transformation in posttraumatic growth (r=-0.221, P=0.045), new possibilities (r=-0.227, P=0.013) and relationship with others (r=-0.247, P=0.025) in all dimensions. ③Depression in the patients was positively correlated to medical expense burden (F=5.39, P=0.006), negatively correlated to positive coping factor in simple coping style questionnaire (r=-0.368, P=0.001), positively correlated to negative coping factor (r=0.312, P=0.004), and negatively correlated to total score of posttraumatic growth (PGTI, r=-0.353, P=0.001), self-transformation (r=-0.217, P=0.049), new possibilities (r=-0.371, P=0.001), personal power (r=-0.228, P=0.038), inspiration of life (r=-0.329, P=0.002) and relationship with others (r=-0.250, P=0.023) in all dimensions. Conclusion Anxiety and depression are common symptoms in hemodialysis patients. Positive psychological counseling should be given in clinical nursing work to help the patients recover their physical and mental health.

Key words: Hemodialysis, Anxiety and depression, Hospital emotion scale, Posttraumatic growth scale