中国血液净化

中国血液净化 ›› 2018, Vol. 17 ›› Issue (02): 141-143.doi: 10.3969/j.issn.1671-4091.2018.02.016

• 透析心理学 • 上一篇    下一篇

维持性血液透析患者医学应对方式与领悟社会支持的相关性分析

郑浩天1, 杨冬菊2, 李巧1, 陈林1   

  1. 1. 四川大学华西医院 肾脏内科血液透析中心  2. 四川大学华西临床医学院
  • 收稿日期:2017-07-06 修回日期:2017-12-20 出版日期:2018-02-12 发布日期:2018-02-12
  • 通讯作者: 陈林 hxxuetou@163.com E-mail:hxxuetou@163.com

Correlation between medical coping style and perceived social support in maintenance hemodialysis patients

  • Received:2017-07-06 Revised:2017-12-20 Online:2018-02-12 Published:2018-02-12

PDF

749

摘要： 目的探讨维持性血液透析患者医学应对方式的现状及其与领悟社会支持的相关性。方法采用方便抽样，对2017 年3～6 月在四川大学华西医院血液净化中心接受维持性血液透析治疗的100 例患者进行医学应对问卷(medial coping modes questionnaire，MCMQ)和领悟社会支持量表(perceived socail support scale，PSSS)的调查。结果维持性血液透析患者以回避为主要应对方式(36 例，36%)；面对维度得分低于常模(t=-2.780，P=0.007)，回避、屈服维度得分高于常模(t=7.208, t=6.486，P均＜0.001)；屈服维度与领悟社会支持总分及各维度负相关(r=- 0.322、- 0.318、- 0.256、- 0.260，P=0.001、0.001、0.010、0.009)，面对维度与其他支持维度正相关(r=0.249，P=0.013)。结论提示应完善和充分利用MHD患者的家庭和社会支持系统，减少屈服应对，提高其健康水平。

关键词: 维持性血液透析, 应对方式, 领悟社会支持

Abstract: Objective To investigate the status of medical coping style and its correlation with perceived social support in maintenance hemodialysis (MHD) patients. Methods By convenient sampling, a total of 100 patients who underwent MHD in our hospital from July to June in 2017 were followed up for Medial Coping
Modes Questionnaire (MCMQ) and Perceived Social Support Scale (PSSS). Results Avoidance was the main coping style in MHD patients (36 case, 36%). The score of face dimension was lower than norm (t=-2.780, P=0.007), and the scores of avoidance and yield dimension were higher than norm (t=7.208 and 6.486 respectively, P＜0.001). The yield dimension was negatively correlated with the total scores and dimensions of perceived social support (r=-0.322, -0.318, -0.256 and -0.260; P=0.001, 0.001, 0.010 and 0.009), and the face dimension was positively correlated with other support dimensions (r=0.249, P=0.013). Conclusion This study suggests that the family and social support system for MHD patients should be improved to reduce their yield responses and improve their health conditions.

Key words: Maintenance Heamodialysis, Coping Style, Perceived Social Support