血液透析患者的应激应对策略、心理困扰与生活质量之间的关系。
Relationship between stress coping strategies, psychological distress, and quality of life among hemodialysis patients.
作者信息
Zamanian Hadi, Poorolajal Jalal, Taheri-Kharameh Zahra
机构信息
Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Research Center for Health Sciences, Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
出版信息
Perspect Psychiatr Care. 2018 Jul;54(3):410-415. doi: 10.1111/ppc.12284. Epub 2018 Apr 24.
PURPOSE
The purpose of this study is to determine the relationship between coping strategies and psychological distress on quality of life (QoL) in hemodialysis patients.
DESIGN AND METHODS
The study was conducted with 100 patients undergoing hemodialysis. Data collection instruments were SF-36, HADS, and JCS. Data were analyzed using multiple linear regression and descriptive statistical analysis.
FINDINGS
Emotive coping style to be a significant independent determinant of lower QoL in the MCS domain (β = -0.41; p = 0.024), while anxiety was found to be a determinant of lower scores in both the MCS (β = -0.47; p = 0.006) and the PCS (β = -0.55; p = 0.001) domains.
PRACTICE IMPLICATIONS
Anxiety and emotive coping style negatively affect QoL in dialysis patients. More attention could be paid to its role to deal with the inevitable sources of stress in the care plan.
目的
本研究旨在确定血液透析患者应对策略与心理困扰对生活质量（QoL）的关系。
设计与方法
对100例接受血液透析的患者进行了研究。数据收集工具为SF-36、HADS和JCS。采用多元线性回归和描述性统计分析对数据进行分析。
结果
情绪应对方式是MCS领域生活质量较低的一个重要独立决定因素（β = -0.41；p = 0.024），而焦虑被发现是MCS（β = -0.47；p = 0.006）和PCS（β = -0.55；p = 0.001）领域得分较低的一个决定因素。
实践意义
焦虑和情绪应对方式对透析患者的生活质量有负面影响。在护理计划中，应更多地关注其在应对不可避免的压力源方面的作用。
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