中老年维持性血液透析患者尊严与希望水平、负性情绪的相关性分析

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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.

Key words： Maintenance hemodialysis Dignity Hope Anxiety Depression

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	CHEN Xinru1 DONG Caimei2 CAO Fei1

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CHEN Xinru1 DONG Caimei2 CAO Fei1. Correlation analysis of dignity with hope level and negative emotion in middle-aged and elderly maintenance hemodialysis patients[J]. 中国医药导报, 2022, 19(23): 40-43,48.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I23/40

[1] Zou Y，Hong D，He Q，et al. Epidemiology investigation and analysis of patients with hemodialysis in Sichuan province of China [J]. Ren Fail，2019，41（1）：644-649.
[2] Schouten RW，Nadort E，Ballegooijen WV，et al. General distress and symptoms of anxiety and depression：A factor analysis in two cohorts of dialysis patients [J]. Gen Hosp Psychiatry，2020，65：91-99.
[3] Hu CW，Chang KH，Hsish HC，et al. Social Support as a Mediator of the Relationship between Hope and Decisional Conflict in Patients Deciding Whether to Receive Dialysis [J]. J Healthc Eng，2021，5607219.
[4] 严雪萍，张颖君，张娇，等.维持性血液透析患者尊严感现状及影响因素分析[J].华西医学，2021，36（7）：866-871.
[5] 陈新夏.人的尊严与人的发展[J].天津社会科学，2021（5）：92-100，140.
[6] 黄瑶，周英，汪国成，等.住院患者尊严现状及影响因素分析[J].护理学杂志，2021，36（20）：93-96.
[7] 王丽萍，段晓佳，杨婕.维持性血液透析患者希望水平的研究进展[J].透析与人工器官，2019，30（2）：33-37.
[8] 朱一凡，陈芷谦，郭巧红，等.196例乳腺癌化疗患者尊严现状及影响因素分析[J].护理学报，2020，27（12）：33-38.
[9] Xiao J，Chow KM，Liu Y，et al. Effects of dignity therapy on dignity，psychological well-being，and quality of life among palliative care cancer patients：A systematic review and meta-analysis [J]. Psychooncology，2019，28（9）：1791-1802.
[10] Chochinov HM，Hassard T，Mcclement S，et al. The Patient Dignity Inventory：A Novel Way of Measuring Dignity-Related Distress in Palliative Care [J]. J Pain Symptom Manage，2008，36（6）：559-571.
[11] 葛国靖，曹艳梅，刘捷，等.中文版患者尊严量表初步修订及信、效度评价[J].中国公共卫生，2016，32（8）：1088-1091.
[12] Herth K. Abbreviated instrument to measure hope：development and psychometric evaluation [J]. J Adv Nurs，1992，17（10）：1251-1259.
[13] 赵海平，王健.血液透析患者的社会支持和希望[J].中华护理杂志，2000，35（5）：49-51.
[14] Zigmond AS，Snaith RP. The hospital anxiety and depression scale [J]. Acta Psychiatr Scand，1983，67（6）：361-370.
[15] 孙振晓，刘化学，焦林瑛，等.医院焦虑抑郁量表的信度及效度研究[J].中华临床医师杂志（电子版），2017，11（2）：198-201.
[16] Vaghee S，Javadi AR，Mazlom SR，et al. The Effect of Dignity Therapy on Hope Level in Patients with Chronic Renal Failure Undergoing Hemodialysis [J]. Life Sci J，2012，9（4）：3722-3727.
[17] 吴宗壁，韩晓苇，谭秋贞，等.378例中青年维持性血液透析患者治疗依从性现状及影响因素分析[J].护理学报，2020，27（1）：47-51.
[18] 王琴，杨晗，邓丽容，等.绵阳市中心医院113例维持性血液透析患者生活质量调查分析[J].预防医学情报杂志，2020，36（11）：1518-1523.
[19] 朱亚杰，辛霞，高菊林，等.陕西省维持性血液透析患者透析现状及症状困扰的调查研究[J].中国血液净化，2021，20（7）：493-497.
[20] 侯瑞，宋明芬，亢俊俊，等.维持性血液透析患者疲乏影响因素及其与心理弹性、希望之间的相关性分析[J].中华全科医学，2021，19（2）：266-269.
[21] 张云萍.维持性血液透析患者希望水平与焦虑、抑郁情绪关系的研究[D].苏州：苏州大学，2011.
[22] Al-Shammari N，Al-Modahka A，Al-Ansari E，et al. Prevalence of depression，anxiety，and their associations among end-stage renal disease patients on maintenance hemodialysis：a multi-center population-based study [J]. Psychol Health Med，2021，26（9）：1134-1142.
[23] 李丽，朱桂萍，贾西姣，等.集体心理治疗对维持性血液透析患者焦虑抑郁情绪、疲乏及希望水平的影响[J].中国健康心理学杂志，2021，29（7）：1037-1041.
[24] 戴宏平.尊严疗法对肝癌患者自尊相关压力和希望水平的影响[J].护理学杂志，2011，26（23）：66-67.
[25] Rahimipour M，Shahgholian N，Yazdani M. Effect of hope therapy on depression，anxiety，and stress among the patients undergoing hemodialysis [J]. Iran J Nurs Midwifery Res，2015，20（6）：694-699.