中青年维持性血液透析患者正念水平与自我管理行为的相关性研究

Correlation between mindfulness level and self-management behaviors in young and middle-aged maintenance hemodialysis patients

目的调查中青年维持性血液透析(MHD)患者正念水平及自我管理行为现状,并分析两者间的相关性。方法采用便利抽样法,选取2020年8—11月湖南省人民医院血液净化中心收治的170例中青年MHD患者为研究对象,采用一般资料调查表、五因素正念量表(FFMQ)及血液透析患者自我管理量表(HD-SMI)对其进行调查。采用Pearson相关分析对正念水平与自我管理行为的相关性进行分析。本研究共发放问卷170份,回收有效问卷165份,有效回收率为97.06%。结果165例中青年MHD患者FFMQ总分为(116.12±14.82)分,HD-SMI总分为(57.72±10.72)分。Pearson相关分析显示,FFMQ总分及各维度得分与HD-SMI总分及各维度得分均呈正相关(P<0.05)。结论中青年MHD患者正念水平及自我管理行为水平均处于中等水平。医护人员应针对中青年MHD患者进行正念干预,提高患者的主动性,进一步改善其自我管理行为。

Objective To explore the mindfulness level and self-management behaviors in young and middle-aged maintenance hemodialysis(MHD)patients,and to analyze the correlation between them.Methods From August to November 2020,convenience sampling was used to select 170 young and middle-aged MHD patients admitted to the Blood Purification Center of People's Hospital of Hunan Province as the research object.The patients were investigated using the General Information Questionnaire,Five Facet Mindfulness Questionnaire(FFMQ)and Hemodialysis Self-Management Instrument(HD-SMI).A total of 170 questionnaires were distributed,and 165 valid questionnaires were recovered,with a valid recovery rate of 97.06%.Results Among 165 young and middle-aged MHD patients,the total scores of FFMQ and HD-SMI were(116.12±14.82)and(57.72±10.72)respectively.Pearson correlation analysis showed that the FFMQ total score and each dimension score were all positively correlated with the HD-SMI total score and each dimension score(P<0.05).Conclusions The level of mindfulness and self-management behaviors of young and middle-aged MHD patients were in the middle level.Medical and nursing staff should conduct mindfulness interventions for young and middle-aged MHD patients to improve patients'initiative and further improve their self-management behaviors.