家庭支持及人格特质与尿毒症血液透析患者生存质量的相关性分析

Correlation analysis of family support,personality traits,and quality of life in uremic hemodialysis patients

目的综合分析尿毒症血液透析患者的人格特质、家庭支持情况与生存质量的关系。方法抽取2019年3月至2021年3月于江苏省海安市人民医院血液净化室进行血液透析治疗的尿毒症患者90例,分析患者人格特质、家庭支持与生存质量间的关系。结果患者健康调查简表(SF-36)评分与家庭支持量表(PSS-Fa)评分分别为(57.64±9.82)、(40.71±6.27)分,艾森克人格问卷简式量表(EPQ-RSC)量表中掩饰性(L)得分为(5.37±1.06)分,神经质(N)得分为(5.92±1.71)分,内外向(E)得分为(7.32±3.02)分,精神质(P)得分为(6.21±2.49)分。Spearman相关性分析显示,E、L与家庭支持及生存质量呈正相关(r>0,P<0.05),而P、N和生活质量呈负相关(r<0,P<0.05)。多元回归结果显示,E、L与家庭支持及生存质量呈正相关,N、P与生存质量呈负相关,L、E与家庭支持呈正相关,P与家庭支持呈负相关(P<0.05)。效应分解显示,N、P与生存质量存在负向效应,L、E与生存质量存在正向效应(P<0.05)。EPQ-RSC对PSS-Fa产生显著的正向影响关系、PSS-Fa对SF-36产生显著的正向影响关系、EPQ-RSC对SF-36产生显著的正向影响关系(P<0.05)。结论尿毒症血液透析患者的生存质量与家庭支持及人格特质都具有相关性,应通过人格特质分析及家庭支持社会度的提升能够帮助患者提升生存质量。

Objective To comprehensively analyze the relationship between personality traits,family support,and quality of life in uremic hemodialysis patients.Methods A total of 90 patients with uremia who received hemodialysis treatment in the blood purification room of Haian People’s Hospital from March 2019 to March 2021 were selected to analyze the relationship between patients’personality traits,family support,and quality of life.Results The MOS item short form health survey 36(SF-36)score and perceived social support grom family scale(PSS-Fa)score of patients were(57.64±9.82)and(40.71±6.27)points,respectively.In the Eysenck personality questionnaire-R short scale(EPQ-RSC)scale,the lying(L)score was(5.37±1.06),the neuroticism(N)score was(5.92±1.71),and the extraversion(E)score was(7.32±3.02),and the score of psychoticism(P)was(6.21±2.49).Spearman correlation analysis showed that E and L were positively correlated with family support and quality of life(r>0,P<0.05),while P,N were negatively correlated with quality of life(r<0,P<0.05).Multiple regression results showed that E and L were positively correlated with family support and quality of life,N and P were negatively correlated with quality of life,L and E were positively correlated with family support,and P was negatively correlated with family support(P<0.05).Effect decomposition showed that N,P had a negative effect on quality of life,and L,E had a positive effect on quality of life(P<0.05).EPQ-RSC had a significant positive impact relationship on PSS-Fa;PSS-Fa had a significant positive impact relationship on SF-36;EPQ-RSC had a significant positive impact relationship on SF-36(P<0.05).Conclusion The quality of life of uremic hemodialysis patients is related to family support and personality traits.Personality trait analysis and the improvement of family support and social degree can help patients improve their quality of life.