慢性肾衰竭血液透析患者的正念水平与治疗依从性、生命质量、社会支持、应对方式的相关性

The Correlation between Mindfulness Level and Treatment Compliance,Quality of Life,Social Support,and Coping Styles in Hemodialysis Patients with Chronic Renal Failure

目的:探讨慢性肾衰竭血液透析患者的正念水平与治疗依从性、生命质量、社会支持、应对方式的相关性。方法:选取2021年6月—2022年6月贵航集团302医院血液透析中心收治的130例慢性肾衰竭血液透析患者作为研究对象。将所有患者以中文版正念量表平均分为界限进行分组,比较高正念水平组和低正念水平组患者的治疗依从性、生命质量、社会支持和应对方式评分,并对正念评分与治疗依从性、生命质量、社会支持、应对方式评分的相关性进行分析。结果:130例患者正念量表总分为(96.2±8.4)分,治疗依从性量表总分为(15.7±4.9)分,生命质量量表总分为(85.7±9.6)分,社会支持总分为(35.8±5.5)分,积极应对评分为(19.3±3.6)分,消极应对评分为(15.7±4.4)分。高正念水平组患者治疗依从性评分均高于低正念水平组,差异有统计学意义(P<0.05);高正念水平组患者生命质量总分、生理、心理社会、医患关系、婚姻关系、性关系评分均低于低正念水平组,差异有统计学意义(P<0.05);高正念水平组患者社会支持总分和各维度评分及积极应对评分均显著高于低正念水平组,消极应对评分显著低于低正念水平组,差异有统计学意义(P<0.05)。Pearson相关性分析显示正念水平总分及各维度评分与治疗依从性总分、社会支持总分、积极应对方式评分均呈正相关(P<0.05),与生命质量总分和消极应对方式评分呈负相关(P<0.05)。结论:慢性肾衰竭血液透析患者正念水平与治疗依从性、生命质量、社会支持和应对方式有关,治疗过程中应当采取有效干预措施提高患者正念水平,使其能感知到更多来自家庭和社会的支持,以更积极的态度面对治疗和疾病,从而有助于改善患者的生活质量。

Objective:To explore the correlation between mindfulness level and treatment compliance,quality of life,social support,and coping styles in hemodialysis patients with chronic renal failure.Method:A total of 130 hemodialysis patients with chronic renal failure admitted to Guihang Group 302 Hospital from June 2021 to June 2022 were selected as the study objects.All patients were divided into two groups according to the average score of the Chinese version of the mindful attention awareness scale.The scores of treatment compliance,quality of life,social support and coping style of patients in the high mindfulness level group and the low mindfulness level group were compared,and the correlation between mindfulness score and treatment compliance,quality of life,social support and coping style scores were analyzed.Result:The total score of 130 patients was(96.2±8.4)points on mindfulness scale,(15.7±4.9)points on treatment compliance scale,(85.7±9.6)points on quality of life scale,(35.8±5.5)points on social support,and(19.3±3.6)points on positive coping,(15.7±4.4)points on negative coping.The treatment compliance score of patients in high mindfulness level group was higher than that of patients in low mindfulness level group,the difference was statistically significant(P<0.05).The total score of quality of life,physiological,psychosociety,doctor-patient relationship,marital relationship and sexual relationship of patients in the high mindfulness level group were lower than those in the low mindfulness level group,the differences were statistically significant(P<0.05).The total social support score,all dimensions score and positive coping score in the high mindfulness level group were significantly higher than those in the low mindfulness level group,and the negative coping score was significantly lower than that in the low mindfulness level group,the differences were statistically significant(P<0.05).Pearson correlation analysis showed that the total score of mindfulness and each dimension score were positively correlated with the total score of treatment compliance,total score of social support and positive coping style score(P<0.05),were negatively correlated with total quality of life score and negative coping style score(P<0.05).Conclusion:The level of mindfulness in hemodialysis patients with chronic renal failure is related to their treatment compliance,quality of life,social support,and coping styles,effective intervention measures should be taken during the treatment process to improve the patient's mindfulness level,so that they can perceive more support from family and society,and face treatment and disease with a more positive attitude,thereby helping to improve the patient's quality of life.