中国血液净化

中国血液净化 ›› 2020, Vol. 19 ›› Issue (02): 113-115.doi: 10.3969/j.issn.1671-4091.2020.02.011

• 透析心理学 • 上一篇    下一篇

维持性血液透析患者疾病不确定感与抑郁、希望的关系研究

胡鑫玲1,张翀旎1   

  1. 1南昌大学第一附属医院心身医学科
  • 收稿日期:2019-09-16 修回日期:2019-12-13 出版日期:2020-02-20 发布日期:2020-02-12
  • 通讯作者: 张翀旎 zhangchni@126.com E-mail:ni@tom.com

Study on the relationship between uncertainty in illness, depression and hope in patients with maintenance hemodialysis

  1. 1Department of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University，Nanchang 330006, China
  • Received:2019-09-16 Revised:2019-12-13 Online:2020-02-20 Published:2020-02-12

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摘要： 【摘要】目的探讨维持性血液透析患者疾病不确定感的现状及其与抑郁、希望的关系。方法采用一般资料调查表、疾病不确定感量表、抑郁自评量表、Herth 希望量表，对符合纳入标准的180 例维持性血液透析患者进行问卷调查。结果患者疾病不确定感总分为(74.23±7.64)分，抑郁总分为(53.04±9.59)分，希望总分为(32.33±3.05)分。疾病不确定感总分与抑郁总分呈正相关(r=0.429，P＜0.001)，与希望总分呈负相关(r=-0.348，P＜0.001)。多元线性回归分析显示，患者抑郁水平对疾病不确定感有正向预测作用(β=0.170，P＜0.001)，希望水平对疾病不确定感有负向预测作用(β=-0.398，P＜0.001)。结论维持性血液透析患者疾病不确定感处于较高水平，且与患者的抑郁、希望水平相关。

关键词: 维持性血液透析, 疾病不确定感, 抑郁, 希望

Abstract: 【Abstract】Objective To investigate the status of uncertainty in illness with maintenance hemodialysis (MHD) and its relationship with depression and hope. Methods Self-made questionnaire, Chinese version of Mishel disease uncertainty scale, depression self-rating scale, and Herth hope scale were used to investigate 180 MHD patients who met the inclusion criteria. Results The average total scores were 74.23±7.64 for Chinese version of Mishel disease uncertainty scale, 53.04±9.59 for depression self-rating scale, and 32.33±3.05 for Herth hope scale. The total score of uncertainty in illness was positively correlated with the total score of depression (r=0.429, P<0.001), and was negatively correlated with the total score of hope (r=-0.348, P<0.001). Multiple linear regression analysis showed that the level of depression could positively predict the level of uncertainty in illness (β=0.170, P<0.001), and the level of hope could negatively predict the level of uncertainty in illness (β=-0.398, P<0.001). Conclusions MHD patients had a higher level of uncertainty in illness, which was related to the levels of depression and hope.

Key words: Maintenance hemodialysis, Uncertainty in illness, Depression, Hope

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