| 张祥,汪秦,王雪燕,陶明芬.维持性血液透析患者症状困扰与自我管理、抑郁的相关性[J].济宁医学院学报,2025,48(6):510-514 |
| 维持性血液透析患者症状困扰与自我管理、抑郁的相关性 |
| Correlation among symptom distress,self-management, and depression in maintenance hemodialysis patients |
| 投稿时间：2024-10-25 |
| DOI：10.3969/j.issn.1000-9760.2025.06.006 |
| 中文关键词: 血液透析;症状困扰;自我管理行为;抑郁 |
| 英文关键词: Hemodialysis;Symptom distress;Self-management behavior;Depression |
| 基金项目:2023年安徽省高等学校科学研究项目-重大项目(2023AH040237) |
| 作者 | 单位 | E-mail | | 张祥 | 皖南医学院研究生学院, 芜湖 241002 | | | 汪秦 | 皖南医学院研究生学院, 芜湖 241002 | | | 王雪燕 | 皖南医学院研究生学院, 芜湖 241002 | | | 陶明芬 | 皖南医学院第一附属医院弋矶山医院护理部, 芜湖 241002 | 947740079@qq.com |
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| 中文摘要: |
| 目的 了解安徽省芜湖市血液透析患者的症状困扰现状并分析其与自我管理和抑郁的相关性。方法 采用方便抽样法,选取2024年1月—2024年5月于芜湖市3家三级甲等综合医院的血液透析中心治疗的450例患者作为研究对象。采用一般资料调查问卷、透析症状困扰量表(Dialysis Symptom Index,DSI)、血液透析患者自我管理行为量表(Self Management Behavior Scale for Hemodialysis Patients,SMSH)、患者健康问卷抑郁量表(Patient Health Questionnaire Depression Scale-9,PHQ-9)收集患者的一般资料、症状困扰现状、自我管理行为等情况。结果 450名血液透析患者的症状困扰状况得分为(21.13±13.47)分。相关性分析显示,症状困扰得分与自我管理行为得分呈负相关(r=-0.615,P＜0.05),与抑郁得分呈正相关(r=0.574,P＜0.05)。多元线性回归分析结果显示,透析龄(10年～)、原发病类型(糖尿病肾病)、残余肾功能、自我管理行为和抑郁是维持性血液透析患者症状困扰的主要影响因素(均P＜0.05)。结论 血液透析患者症状困扰情况有待缓解,透析龄、糖尿病肾病、残余肾功能、自我管理行为和抑郁情况均可影响患者症状困扰的严重程度,医护人员应从多角度制定相应的措施改善患者症状困扰的状况。 |
| 英文摘要: |
| Objective To investigate the current status of symptom distress among hemodialysis patients in Wuhu city,Anhui province,and analyze its correlation with self-management and depression. Methods By convenience sampling method,450 patients who were treated at the hemodialysis centers of three tertiary comprehensive hospitals in Wuhu city from January 2024 to May 2024 were selected as the study subjects.The patients' general information,current status of symptom distress,and self-management behaviors were collected using a general information survey questionnaire Dialysis Symptom Index (DSI),Self Management Behavior Scale for Hemodialysis Patients (SMSH),and Patient Health Questionnaire Depression Scale-9 (PHQ-9). Results The average score of symptom distress among 450 hemodialysis patients was 21.13±13.47 points.Correlation analysis showed that there was a negative correlation between symptom distress scale scores and self-management behavior scale scores (r=-0.615,P＜0.05),and a positive correlation with depression scale scores (r=0.574,P＜0.05).The results of multiple linear regression analysis showed that dialysis age (10a～),diabetic nephropathy,residual kidney function,self-management behavior,and depression were the main influencing factors for symptom distress in maintenance hemodialysis patients (P＜0.05). Conclusion The symptom distress of hemodialysis patients needs to be alleviated,and factors such as dialysis age,diabetic nephropathy residual kidney function,self-management behavior,and depression can all affect the severity of the patient's symptom distress.Medical staff should develop corresponding measures from multiple perspectives to improve the patient's symptom distress. |
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