尿毒症高通量血液透析患者预期性悲伤与心理控制源的关系

Relationship between expected sadness and psychological control source in uremic patients with high flux hemodialysis

目的:分析尿毒症高通量血液透析患者预期性悲伤与心理控制源的关系。方法:选取2018年1月-2020年1月期间于医院接受高通量血液透析的86例尿毒症患者为研究对象,采用基线资料调查表、汉化版预期性悲伤量表(AGS)、心理控制源量表(MHLC)调查所有患者基线资料、预期性悲伤、心理控制源状况,分析尿毒症高通量血液透析患者预期性悲伤与心理控制源的关系。结果:86例尿毒症高通量血液透析患者AGS评分为58.36±5.24分,总体预期性悲伤水平较高;高中以上文化程度的尿毒症高通量血液透析患者AGS评分低于高中及以下文化程度的患者,差异有统计学意义(t=3.098,P<0.05);86例尿毒症高通量血液透析患者MHLC 3个维度中有势力的他人评分最高,其为机遇,评分最低为内控性,总体心理控制源倾向于有势力的他人;经一般双变量Pearson相关性分析结果显示,尿毒症高通量血液透析患者AGS评分与MHLC内控性评分呈负相关(r=-0.441,P<0.05),与MHLC机遇、有势力的他人评分呈正相关(r=0.525、0.388,P<0.05)。结论:尿毒症高通量血液透析患者预期性悲伤水平较高,心理控制源倾向于外部控制,且患者的预期性悲伤与其心理控制源有关。

Objective:To analyze the relationship between expected sadness and psychological control source in uremic patients with high flux hemodialysis.Methods:A total of 86uremic patients who underwent high flux hemodialysis in the hospital from January 2018to January 2020were selected as the research subjects;Baseline data questionnaire,Chinese version of Anticipatory Grief Scale(AGS)and Multidi-mensional Health psychological control source(MHLC)were used to investigate the baseline data,expected sadness and psychological control source of all patients;The relationship between expected sadness and psychological control source in uremic patients with high flux hemodialysis was analyzed.Results:The AGS score of 86uremic patients with high flux hemodialysis was 58.36±5.24,and the overall expected sadness level was high;The AGS score of uremic patients with high flux hemodialysis whose education above senior high school was lower than that of patients with education below senior high school,the difference was statistically significant(t=3.098,P<0.05);Among the three dimensions of MHLC in 86uremic patients with high flux hemodialysis,the powerful others scored the highest,which was opportunity,and the lowest score was internal control,the overall source of psychological control tended to the powerful others;through the general bivariate Pearson correlation analysis,the results showed that,AGS score was negatively correlated with MHLC internal control score in uremic patients with high flux hemodialysis(r=-0.441,P<0.05),and positively correlated with MHLC opportunity and powerful others score(r=0.525,0.388;P<0.05).Conclusion:The level of expected sadness in uremic patients with high flux hemodialysis is high,the source of psychological control tends to external control,and the expected sadness of patients is related to their psychological control source.