持续非卧床腹膜透析患者心理现状与自我管理能力相关性研究

Correlation between the Psychological Status and Self-Management Ability of Patients on Continuous Ambulatory Peritoneal Dialysis

目的腹膜透析患者的心理状态和自我管理技能研究,并研究影响它们的因素和相互联系。方法采用便利抽样方法,应用一般资料调查表、焦虑抑郁量表(HADS)、自尊量表和自我管理量表对158例腹膜透析患者进行问卷调查。结果腹膜透析患者的HADS得分为(7.46±4.14)分,高于常模;自尊水平得分为(26.40±5.17),低于常模(P<0.05);自我管理能力得分为(62.60±9.22)分,处于中等水平(P<0.05)。文化程度、月平均收入、医保类型,患者的心理状态对腹膜透析患者自我管理能力有一定影响(P<0.05)。结论腹膜透析患者的心理状态与自我管理技能之间存在相关性。为有针对性地降低患者的焦虑抑郁状态,增强患者的自尊和自我管理能力是临床护理干预的基础。

Objective To study the psychological state and self-management skills of peritoneal dialysis patients and to examine the factors influencing them and their interrelationships.Methods A convenience sampling method was used,and general information surveys,the Hospital Anxiety and Depression Scale(HADS),the Self-Esteem Scale,and the Self-Management Scale were employed to conduct a questionnaire survey of 158 patients undergoing peritoneal dialysis.Results The HADS score of peritoneal dialysis patients was(7.46±4.14),which was higher than the norm;the self-esteem level score was(26.40±5.17),which was lower than the norm(P<0.05);and the self-management ability score was(62.60±9.22),which was at an average level(P<0.05).Factors such as education level,average monthly income,type of health insurance,and the psychological state of patients had a certain effect on the self-management ability of peritoneal dialysis patients(all P<0.05).Conclusion There is a correlation between the psychological state of peritoneal dialysis patients and their self-management skills.Targeted interventions to reduce anxiety and depression in patients,while enhancing their self-esteem and self-management abilities,are fundamental to clinical care.