Correlation analysis of dignity with hope level and negative emotion in middle-aged and elderly maintenance hemodialysis patients
CHEN Xinru1 DONG Caimei2 CAO Fei1
1.Department of Nursing Faculty, Hunan Normal University School of Medicine, Hunan Province, Changsha 410000, China;
2.Department of Nursing, Xiangdong Hospital Hunan Normal University, Hunan Province, Liling 412200, China
Abstract：Objective To explore the status of dignity in middle-aged and elderly maintenance hemodialysis (MHD) patients and its correlation with hope level and negative emotion. Methods A questionnaire survey was conducted among 182 middle-aged and elderly MHD patients in a blood purification center of a tertiary hospital in Hunan Province from May to July 2021. They were were investigated by using the patient’s general information questionnaire, the Chinese version of the dignity scale, the Herth hope scale, and the hospital anxiety and depression scale. Results The total score of the patient’s dignity was (41.72±10.83) points, which indicated that there was widespread damage to dignity. There were significant differences in the total scores of dignity among patients with different educational levels, marital status, self-care ability, and average monthly family income (P ＜ 0.05). The total scores of dignity in middle-aged and elderly MHD patients were negatively correlated with the total score of hope (r = -0.646, P ＜ 0.01), and positively correlated with the total score of anxiety and depression (r = 0.502, 0.467, P ＜ 0.01). Conclusion The degree of impaired dignity in middle-aged and elderly MHD patients is closely related to their level of hope and negative emotions. It is suggested that medical staff should pay attention to the patient’s dignity, actively take intervention measures, improve the hope level of middle-aged and elderly MHD patients, relieve their negative emotions of anxiety and depression, so as to improve the patient’s dignity level, improve the quality of life of patients, and enhance the meaning of life.
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