终末期肾脏疾病血液透析患者生活质量与人格特征的关系研究

A study on the relationship between quality of life and personality characteristics in hemodialysis patients with end-stage renal disease

目的:研究终末期肾脏疾病血液透析患者生活质量(Quality Of Life,QOL)与人格特征的关系。方法:此次研究84例终末期肾脏疾病血液透析患者及同期80例未实施血液透析的慢性肾脏病患者作为研究对象,对比分析两组患者的生活质量和人格特征以及人格特征与生活质量的相关性。结果:研究组的生活质量评分显著低于对照组(P<0.05);终末期肾脏疾病血液透析患者的人格特征中精神质(Psychoticism,P)与生理领域、社会关系领域呈负相关,神经质(Neuroticism,N)和生活质量的心理领域呈显著负相关,内外倾向(Extraversim,E)和生活质量独立性领域呈显著正相关,掩饰(Lie,L)与生理、心理领域呈显著正相关(P<0.05)。结论:终末期肾脏疾病血液透析患者的情绪不稳定性较高,生活质量严重下降,在临床治疗中需要将心理治疗与疾病治疗结合,才能够促进治疗效果和患者生存质量的提升。

Objective: To study the relationship between QOL and personality characteristics in hemodialysis patients with endstage renal disease. Methods: 84 patients with end-stage renal disease and 80 patients with chronic kidney disease without hemodialysis were studied. The QOL and personality characteristics of patients in two groups and their correlation were analyzed. Results: The scores of QOL in the study group were significantly lower than the control group (P<0.05). There was a negative correlation between factor P of personality and social relations, factor N and the psychological field of QOL. There was a significant positive correlation between factor E and quality of life independence domain, factor L and physiology and psychological field (P<0.05). Conclusion: The personality of hemodialysis patients with end-stage renal disease has higher emotional instability and lower quality of life. Psychotherapy should be applied in treating disease, can promote effects and QOL.