|
|
|
| Influences of family care on psychological state, self-management behavior and self-perceived burden in patients with maintenance hemodialysis |
| TONG Huaqing |
| Blood Dialysis Room, Zigong Third People's Hospital, Sichuan Province, Zigong 643020, China |
|
|
|
Abstract Objective To study the influences of family care on psychological status, self-management behavior and self-perceived burden in patients with maintenance hemodialysis. Methods From June 2012 to February 2016, 82 patients treated with maintenance hemodialysis in Zigong Third People′s Hospital were selected as research subjects and divided into the good family function group (37 cases) and the poor family function group (45 cases) according to the family APGAR index. The self-rating depression scale (SDS) and the self-rating anxiety scale (SAS) were used to evaluate the psychological status of the patients. The self-management behavior was evaluated by hemodialysis patients′self-management scale. The self-perceived burden scale (SPBS) was used to assess the degree of the patients′ self-perceived burden. Results The average scores of SDS and SAS, the proportion of depression and anxiety in the good family function group were all lower than those of poor family function group, with statistically significant differences (P ＜ 0.05). The total score of self-management behavior and each dimension score in the good family function group were higher than those of poor family function group, with statistically significant differences (P ＜ 0.05). The total score of SPBS and each dimension score in the good family function group were all lower than those of poor family function group, with statistically significant differences (P ＜ 0.05). Conclusion The improvement of family care can directly optimize the psychological status and self-management behavior in patients with maintenance hemodialysis, and reduce the burden of self-perception.
|
|
|
|
|
|
[1] Yadla M，John JP，Mummadi M. A study of clinical assessment of frailty in patients on maintenance hemodialysis supported by cashless government scheme [J]. Saudi J Kidney Dis Transpl，2017，28（1）：15-22.
[2] Chen CY，Hung SY，Lee YJ，et al. Delayed onset of posterior reversible encephalopathy syndrome in a case of scleroderma renal crisis with?maintenance hemodialysis：Case report and literature review [J]. Medicine，2016，95（52）：e5725.
[3] 唐春苑，成守珍，叶晓青，等.维持性血液透析病人的支持系统与睡眠质量的研究[J].护理研究，2012，26（10A）：2624-2627.
[4] 忻丽云，侯春兰，王润梅，等.抑郁症抑郁自评量表的因子结构分析及影响因素[J].中国健康心理学杂志，2012，20（10）：1521-1524.
[5] 张桂燕.优质护理联合心理干预对血液透析患者焦虑自评量表及抑郁自评量表指标情况的影响研究[J].山西医药杂志，2016，45（8）：970-973.
[6] 李慧曹，迎东姜，亚芳，等.血液透析患者自我管理量表的引进及信效度检测[J].中华护理杂志，2015，50（11）：1392-1395.
[7] 杨欢，吴庆文.自我感受负担量表的临床应用进展[J].护理研究，2012，26（3）：587-590.
[8] Wang SY，Zang XY，Fu SH，et al. Factors related to fatigue in Chinese patients with end-stage renal disease receiving maintenance hemodialysis：a multi-center cross-sectional study [J]. Ren Fail，2016，38（3）：442-450.
[9] 程雪涛，冯雪，刘国莲，等.维持性血液透析患者家庭功能与自我管理能力相关性研究[J].中国现代医学杂志，2016，26（18）：80-83.
[10] 江葳，冯轶，张倬秋.维持性血液透析患者生活质量与家庭关怀及社会支持的相关性研究[J].实用医院临床杂志，2016，13（5）：126-130.
[11] 谢巧珍，刘锦霞.团体认知行为干预对维持性血液透析患者负性情绪的影响[J].重庆医学，2015，44（8）：1141-1144.
[12] Wang SY，Zang XY，Liu JD，et al. Indicators and correlates of psychological disturbance in Chinese patients receiving maintenance hemodialysis：a cross-sectional study [J]. Int Urol Nephrol，2015，47（4）：679-689.
[13] 李雪，孙晓晶.自我管理行为对维持性血液透析患者自我感受负担的影响研究[J].中华护理杂志，2016，51（5）：562-565.
[14] Wang R，Tang C，Chen X，et al. Poor sleep and reduced quality of life were associated with symptom distress in patients receivingmaintenance hemodialysis [J]. Health Qual Life Out，2016，14（1）：125.
[15] Sorensen EP，Sarnak MJ，Tighiouart H，et al. The kidney disease quality of life cognitive function subscale and cognitive performance inmaintenance hemodialysis patients [J]. Am J Kidney Dis，2012，60（3）：417-426.
[16] 程雪涛，冯雪，刘国莲，等.维持性血液透析患者家庭功能与自我管理能力相关性研究[J].中国现代医学杂志，2016，26（18）：80-83.
[17] Luo J，Jensen DE，Maroni BJ，et al. Spectrum and? Burden of Erythropoiesis-Stimulating Agent Hyporesponsiveness Among Contemporary Hemodialysis Patients [J]. Am J Kidney Dis，2016，68（5）：763-771.
[18] Yashiro M，Ochiai M，Yanai Y，et al. Patient-Specific Relationship Between Hydraulic Permeability of Microvasculature and the Extent of Burden of Excess Fluid in Hemodialysis Patients [J]. Ther Apher Dial，2016，20（5）：492-500.
[19] 李雪，孙晓晶.维持性血液透析患者自我感受负担及相关因素[J].中国心理卫生杂志，2016，30（4）：258-262.
[20] Abe H，Mafune K，Minamimura K，et al. Validation of the Estimation of Physiologic Ability and Surgical Stress（E-PASS）score formaintenance hemodialysis patients undergoing elective abdominal surgery [J]. Dig Surg，2014，31（4/5）：269-275.
[21] Chan M，Kelly J，Batterham M，et al. A high prevalence of abnormal nutrition parameters found in predialysis end-stage kidney disease：is it a result of uremia or poor eating habits? [J]. J Ren Nutr，2014，24（5）：292-302. |
|
|
|
