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| Relationship between self-perceived burden and psychological vulnerability in elderly patients with chronic renal failure undergoing hemodialysis |
| ZHANG Tingting1 XU Xianrong1▲ XU Jing1 MA Qing1 YE Yajun1 CAO Shiqi1 CHEN Lvjing1 ZUO Xiangrong2 |
1.Renal Disease Intensive Ward, Jiangsu Provincial People’s Hospital (the First Affiliated Hospital of Nanjing Medical University), Jiangsu Province, Nanjing 210029, China;
2.Department of Critical Care Medicine, Jiangsu Provincial People’s Hospital (the First Affiliated Hospital of Nanjing Medical University), Jiangsu Province, Nanjing 210029, China
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Abstract Objective To explore the relationship between self-perceived burden and psychological vulnerability in elderly patients with chronic renal failure sustained hemodialysis. Methods A total of 102 elderly patients with chronic renal failure who underwent maintenance hemodialysis treatment in the Renal Disease Intensive Ward of Jiangsu People’s Hospital from September 2019 to May 2022 were selected as the study objects. General data, scores of mental vulnerability questionnaire(MVQ), Connor-Dacidson psychological resilience scale (CD-RISC), and self-perceived burden scale (SPBS) were collected. The correlation of SPBS score with MVQ score and CD-RISC score were analyzed. According to the scores of SPBS, patients were divided into group A (SPBS score＜30 points) and group B (SPBS score≥30 points), and the influencing factors of patients’ self-perceived burden were analyzed. Results Among 102 elderly patients with chronic renal failure, MVQ score was (56.88±12.25) points, CD-RISC score was (35.73±9.25) points, SPBS score was (27.25±8.76) points, of which 54 cases (52.94%) in group A and 48 cases (47.06%) in group B. Pearson correlation analysis showed that SPBS score of elderly patients with chronic renal failure maintenance hemodialysis was positively correlated with MVQ score (r＞0, P＜0.05), and negatively correlated with CD-RISC score (r＜0, P＜0.05). The dialysis time of group B was longer than that of group A, the score of age, medical expense and MVQ was higher than that of group A, and the score of CD-RISC was lower than that of group A, with statistical significances (P＜0.05). Logistic regression analysis showed that dialysis time and MVQ score were risk factors for patients’ self-perceived burden (OR＞1, P＜0.05), and CD-RISC score were protective factors for patients’ self-perceived burden (OR＜1, P＜0.05). Conclusion Senile chronic renal failure patients with persistent hemodialysis generally have different degrees of self-perceived burden, and its degree is closely related to dialysis time and psychological vulnerability of patients.
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[1] 关兴晔.高通量透析结合血液灌流对老年慢性肾衰竭维持性血液透析患者炎症因子与生活质量的影响[J].中国当代医药，2021，28（3）：115-118.
[2] 徐会平.综合护理干预对老年慢性肾衰竭维持性血液透析患者治疗依从性及生活质量的影响[J].实用中西医结合临床，2018，18（2）：152-153.
[3] Song MK，Paul S，Plantinga L，et al. Social Networks of Self- care and Perceived Treatment Burden Among Patients on In-Center Hemodialysis [J]. Kidney Med，2019，1（3）：97-103.
[4] 曾莉，张建梅，蒋红英，等.脊髓损伤病人自我感受负担与心理脆弱程度相关性分析[J].护理研究，2022，36（14）：2610-2613.
[5] 郭丽丽，关玉霞，梁华，等.维持性血液透析患者自尊水平、心理韧性与自我感受负担的关系[J].中国健康心理学杂志，2020，28（4）：499-502.
[6] Eplov LF，Petersen J，J?覬rgensen T，et al. The Mental Vulnerability Questionnaire：a psychometric evaluation [J]. Scand J Psychol，2010，51（6）：548-454.
[7] 陈瑜，孙越异，裴涛，等.Connor-Davidson心理复原力量表中文版在大学生中的信效度分析[J].中华行为医学与脑科学杂志，2013，22（11）：1040-1043.
[8] Cousineau N，McDowell I，Hotz S，et al. Measuring chronic patients’ feelings of being a burden to their caregivers：development and preliminary validation of a scale [J]. Med Care，2003，41（1）：110-118.
[9] 王莹，邵洁.延续性优质护理干预对肾衰竭维持性血液透析患者自我管理能力和依从性的影响[J].临床医学研究与实践，2022，7（7）：150-152.
[10] 迪丽努尔·麦海提江，刘沙沙，何艳，等.自我表露训练对终末期肾病维持性血液透析患者自我感受负担及生活质量的影响[J].中国医药导报，2021，18（15）：96-99.
[11] im KY，Ryu JH，Kang DH，et al. Early fluid management affects short-term mortality in patients with end-stage kidney disease undergoing chronic hemodialysis and requiring continuous renal replacement therapy [J]. BMC Nephrol，2022，23（1）：102.
[12] 李琳，崔珺，崔艳，等.hs-CRP、NLR及FGF23对慢性肾衰竭维持性血液透析患者的预后评估价值[J].西部医学，2021，33（11）：1633-1636.
[13] Hanspal I，Fathima FN，Kedlaya PG. Social Impact of End- Stage Renal Disease Requiring Hemodialysis among Patients with Type-2 Diabetes and Their Caregivers in Bengaluru，Karnataka [J]. Indian J Community Med，2021，46（4）：626-630.
[14] 程春慧.维持性血液透析病人自我感受负担在家庭支持与健康行为间的中介效应研究[J].蚌埠医学院学报，2022，47（7）：971-973.
[15] Dejumo OA，Okaka EI，Akinbodewa AA，et al. Self-perceived Burden on Caregivers，Anxiety and Depression among Chr- onic Kidney Disease Patients in Southern Nigeria [J]. West Afr J Med，2021，38（4）：335-341.
[16] Pedroso-Chaparro MDS，Cabrera I，Márquez-González M，et al. Validation of the Guilt associated with Self-Perception as a Burden Scale （G-SPBS） [J]. Behav Cogn Psycho- ther，2021，49（2）：185-196.
[17] Ni Q，Cheng G，Chen A，et al. Early detection of mental illness for women suffering high-risk pregnancies：an explorative study on self-perceived burden during pregnancy and early postpartum depressive symptoms among Chinese women hospitalized with threatened preterm labour [J]. BMC Psychiatry，2020 ，20（1）：250.
[18] 王婷，黄培，朱明丽，等.ICU患者应对方式和心理资本对自我感受负担影响的路径分析[J].浙江医学，2022， 44（6）：611-616.
[19] 刘铭欣，张会君.原发性肾病综合征患者的自我感受负担、心理弹性及生活质量分析[J].锦州医科大学学报，2022，43（2）：101-107.
[20] 江佳隆，李贤.老年脑卒中病人心理脆弱现状及影响因素[J].护理研究，2021，35（3）：387-390.
[21] 杨婷婷，汤燕，刁东晓.住院康复治疗脑梗死患者心理脆弱的影响因素分析[J].医药前沿，2022，12（10）：136- 138.
[22] 赵培培，王兆国，李春香，等.突发公共卫生事件期间中年家庭成员心理脆弱性与卫生防疫情况调查[J].河南医学研究，2020，29（31）：5761-5764.
[23] 郭静，王瑛，宋玉萍，等.中文版心理脆弱性问卷初步修订及在社区居民中应用信效度分析[J].中国公共卫生，2019，35（2）：129-133.
[24] 周雪丽，颜钰，段棣飞，等.中青年腹膜透析患者自我感受负担现状及相关因素分析[J].现代预防医学，2021， 48（18）：3444-3447.
[25] 李晓萍，马海英，谢丹.维持性血液透析患者自我感受负担现状及相关因素研究[J].西部中医药，2022，35（2）： 81-84.
[26] 李雪.维持性血液透析患者自我感受负担及相关因素分析[D].锦州：锦州医科大学，2016：29-31.
[27] 周其珍，李鸣，石春珍.目标导向式健康行为扭转延伸护理对慢性肾衰竭患者血液透析依从性及心理状况的影响[J]. 中国当代医药，2023，30（14）：161-164.
[28] 高倩倩，梁娟荣，王旭，等.老年维持性血液透析患者健康促进行为成因的质性研究[J].中国医药科学，2022， 12（22）：112-115.
[29] 李华，易海飞，池向耿，等.维持性血液透析患者饮食依从性相关影响因素的调查[J].中外医学研究，2021，19（11）：180-182. |
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