腹膜透析患者主观幸福感与心理弹性现状及其相关性分析

Current status and correlation analysis between subjective well-being and psychological resilience in peritoneal dialysis patients

目的探讨腹膜透析患者主观幸福感与心理弹性的关系,为提高患者心理弹性提供参考。方法2022年10月至2023年2月采用横断面调查法,整群抽样上海市第十人民医院、上海中医药大学附属龙华医院、上海市同济医院、上海市第六人民医院腹膜透析患者310例为研究对象。采用一般资料调查表、总体幸福感量表、中文版Connor-Davidson心理弹性量表进行调查,并进行相关性分析。结果共发放310份问卷,回收有效问卷304份,有效回收率为98.1%。304例腹膜透析患者主观幸福感得分为(72.07±6.45)分,呈中高水平;心理弹性得分为(39.84±18.20)分,呈中低水平。腹膜透析患者主观幸福感与心理弹性总分呈正相关(r=0.634,P<0.05),且各维度得分均呈正相关(r>0,P<0.05)。结论医护人员应注重腹膜透析患者的主观幸福感,实施心理干预来提高患者心理弹性水平,改善心理社会结果。

Objective To explore the relationship between subjective well-being and psychological resilience in peritoneal dialysis patients,and to provide reference for improving their psychological resilience.Methods A total of 310 peritoneal dialysis patients from Shanghai Tenth People’s Hospital,Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai Tongji Hospital,and Shanghai Sixth People’s Hospital were sampled by cross-sectional investigation method from October 2022 to February 2023.General data questionnaire,general well-being scale,Chinese version of Connor-Davidson resilience scale were used to investigate,and correlation analysis was carried out.Results A total of 310 questionnaires were sent out,and 304 were effectively collected,with an effective recovery rate of 98.1%.The subjective well-being score of 304 patients with peritoneal dialysis was(72.07±6.45),which was at medium and high level.The score of psychological resilience was(39.84±18.20),which was at low level.The subjective well-being of patients with abdominal dialysis was positively correlated with the total scores of mental resilience(r=0.634,P<0.05),and the scores of all dimensions were positively correlated(r>0,P<0.05).Conclusion Medical staff should pay attention to the subjective well-being of patients with peritoneal dialysis,and implement psychological intervention to improve the psychological resilience of patients and improve psychosocial outcomes.