维持性血液透析患者照顾者心理脱离现状分析

Psychological detachment of caregivers of maintenance hemodialysis patients

目的探讨维持性血液透析患者照顾者心理脱离现状及影响因素。方法采用心理脱离量表、照顾负担量表、沃里克-爱丁堡积极心理健康量表,对205例维持性血液透析患者照顾者进行问卷调查。结果维持性血液透析患者照顾者心理脱离总分为12.01±3.57。照顾者照顾时间、性格类型、照顾负担、积极心理健康和患者透析年限、透析并发症种类是照顾者心理脱离的主要影响因素(P<0.05,P<0.01)。结论维持性血液透析患者照顾者心理脱离处于中等水平,受照顾时间、自述性格类型、照顾负担、积极心理健康和患者透析年限、透析并发症种类的影响。医护人员应关注照顾者的心理脱离情况,采取积极措施提高心理脱离水平,促进其身心健康。

Objective To understand the current status of psychological detachment of caregivers of maintenance hemodialysis patients and the influence factors.Methods A questionnaire survey was conducted among caregivers of 205 maintenance hemodialysis patients by using Psychological Detachment Scale,Zarit Burden Inventory and Warwick-Edinburgh Mental Well-being Scale.Results The caregiver scored(12.01±3.57)in psychological detachment,which was influenced by such factors as caregiving years,self-reported personality type,caregiver burden,positive mentality,patient dialysis years and dialysis complications(P<0.05,P<0.01).Conclusion The caregivers of maintenance hemodialysis patients have a moderate level of psychological detachment,which is influenced by the following factors of caregiving years,self-reported personality type,caregiver burden,positive mentality,patient dialysis years and dialysis complications.Medical staff should pay attention to psychological detachment of caregivers,take active measures to improve their psychological detachment,and promote their physical and mental health.