中国血液净化

中国血液净化 ›› 2018, Vol. 17 ›› Issue (04): 262-264.doi: 10.3969/j.issn.1671-4091.2018.04.013

• 护理研究 • 上一篇    下一篇

MHD 患者自我感受负担与应对方式、自我效能和自尊的相关性分析

杨冬菊1,郑浩天2,蒋晓莲1   

  1. 1. 四川大学华西医院/华西护理学院 2.肾内科血液透析中心
  • 收稿日期:2017-10-23 修回日期:2018-01-23 出版日期:2018-04-12 发布日期:2018-04-12

Self-perceived burden and its correlation with coping style, self-efficacy and self-esteem in maintenance hemodialysis patients

  • Received:2017-10-23 Revised:2018-01-23 Online:2018-04-12 Published:2018-04-12

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摘要： 【摘要】目的了解维持性血液透析(maintenance hemodialysis,MHD)患者自我感受负担现状及其与应对方式、自我效能和自尊之间的相关性。方法采用便利抽样，对2017 年3 月到2017 年5 月在成都市某血液净化中心接受MHD 治疗的114 例患者进行自我感受负担量表(self-perceived burden scale,SPBS)、医学应对问卷(medial coping modes questionnaire，MCMQ)、一般自我效能量表(general selfefficacy scale，GSES)和自尊量表(self-esteem scale，SES)的调查。结果MHD 患者自我感受负担得分为25.89±8.32 分，处于轻度水平。74.6%的患者有不同程度的负担感受，以经济负担为主。自我感受负担与应对方式中的屈服应对正相关(r=0.499，P＜0.001)，与自我效能(r=-0.312，P=0.001)、自尊水平(r=-0.308，P=0.001)负相关。结论MHD 患者普遍存在自我感受负担，可以通过减少患者的屈服应对心理，提高其面对疾病的信心和自我价值来降低自我负担感受。

关键词: 维持性血液透析, 自我感受负担, 应对方式, 自我效能, 自尊

Abstract: 【Abstract】Objective To investigate the status of self-perceived burden and its correlation with coping style, self- efficacy and self- esteem in maintenance hemodialysis (MHD) patients. Methods A total of 114 MHD patients treated during the period from March to May in 2017 in one of the blood purification centers in Chengdu were recruited by convenience sampling method. The self- perceived burden scale (SPBS), medial coping modes questionnaire (MCMQ), general self-efficacy scale (GSES) and self-esteem scale (SES) were investigated in these patients. Results The total SPBS score of the MHD patients was 25.89±8.32, which is a mild level. Different degrees of self-perceived burden, mainly financial burden, were detected in 74.6% (85 cases) MHD patients. Self-perceived burden was positively correlated with the yield response of coping style (r=0.499, P<0.001), and negatively correlated with self- efficacy (r=- 0.312, P=0.001) and self- esteem (r=-0.308, P= 0.001). Conclusions Self-perceived burden is commonly present in MHD patients. Self-perceived burden can be alleviated by reducing the yield response of coping style and enhancing their confidence and self-efficacy to face the disease.

Key words: Maintenance Hemodialysis, Self-Perceived burden, Coping Style, Self-Efficacy, Self-Esteem