摘要
目的探讨维持性血液透析患者家庭关怀度对心理状态、自我管理行为、自我感受负担的影响。方法选择2012年6月~2016年2月在自贡市第三人民医院接受维持性血液透析治疗的尿毒症患者82例,根据家庭关怀度指数量表(APGAR)评分其分为家庭功能良好组(37例)和家庭功能障碍组(45例)。采用抑郁自评量表(SDS)、焦虑自评量表(SAS)评估两组患者的心理状态,采用血液透析患者自我管理量表评估两组患者的自我管理行为,采用自我感受负担量表(SPBS)评估两组患者的自我感受负担程度。结果家庭功能良好组SDS平均分、抑郁比例,SAS平均分、抑郁比例均低于家庭功能障碍组(P<0.05)。家庭功能良好组血液透析患者自我管理量表总分及各个维度评分均高于家庭功能障碍组(P<0.05)。家庭功能良好组的SPBS总分及各个维度评分均低于家庭功能障碍组(P<0.05)。结论提高家庭关怀度可直接优化维持性血液透析患者的心理状态及自我管理行为,减轻自我感受负担。
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 eval- uate 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.
出处
《中国医药导报》
CAS
2018年第4期177-180,共4页
China Medical Herald
关键词
维持性血液透析
家庭关怀度
心理状态
自我管理行为
自我感受负担
Maintenance hemodialysis
Family care
Psychological status
Self-management behavior
Self-perceived burden
