中老年维持性血液透析患者尊严与希望水平、负性情绪的相关性分析

Correlation analysis of dignity with hope level and negative emotion in middle-aged and elderly maintenance hemodialysis patients

目的探讨中老年维持性血液透析(MHD)患者尊严现状及其与希望水平、负性情绪的相关性。方法于2021年5月至7月采用患者一般资料调查问卷、中文版尊严量表、Herth希望量表、医院焦虑抑郁量表对湖南省某所三级医院血液净化中心的182例中老年MHD患者进行问卷调查。结果患者尊严总分为(41.72±10.83)分,提示普遍存在尊严受损。不同文化程度、婚姻状态、自理能力、家庭平均月收入的患者尊严总分比较,差异有统计学意义(P<0.05)。中老年MHD患者尊严总分与希望总分呈负相关(r=-0.646,P<0.01),与焦虑、抑郁总分呈正相关(r=0.502,0.467,P<0.01)。结论中老年MHD患者尊严受损程度与其希望水平、负性情绪密切相关。医护人员应重视患者的尊严问题,积极采取干预措施,提高中老年MHD患者的希望水平,缓解其焦虑、抑郁情绪的负性情绪以提升患者尊严水平,改善患者生活质量,提高生命意义。

Objective To explore the status of dignity in middle-aged and elderly maintenance hemodialysis(MHD)patients and its correlation with hope level and negative emotion.Methods A questionnaire survey was conducted among 182 middle-aged and elderly MHD patients in a blood purification center of a tertiary hospital in Hunan Province from May to July 2021.They were were investigated by using the patient’s general information questionnaire,the Chinese version of the dignity scale,the Herth hope scale,and the hospital anxiety and depression scale.Results The total score of the patient’s dignity was(41.72±10.83)points,which indicated that there was widespread damage to dignity.There were significant differences in the total scores of dignity among patients with different educational levels,marital status,self-care ability,and average monthly family income(P<0.05).The total scores of dignity in middle-aged and elderly MHD patients were negatively correlated with the total score of hope(r=-0.646,P<0.01),and positively correlated with the total score of anxiety and depression(r=0.502,0.467,P<0.01).Conclusion The degree of impaired dignity in middle-aged and elderly MHD patients is closely related to their level of hope and negative emotions.It is suggested that medical staff should pay attention to the patient’s dignity,actively take intervention measures,improve the hope level of middle-aged and elderly MHD patients,relieve their negative emotions of anxiety and depression,so as to improve the patient’s dignity level,improve the quality of life of patients,and enhance the meaning of life.