摘要
目的:探讨尿毒症血液透析患者预感性悲伤与自我表露、恐惧疾病进展的相关性及影响因素。方法:前瞻性选取2023年3月至2025年1月在盐城市亭湖区人民医院接受治疗的187例尿毒症血液透析患者作为研究对象。收集尿毒症血液透析患者的一般资料。采用预感性悲伤量表(Anticipatory Grief Scale,AGS)、中文版痛苦自我表露指数量表(Distress Disclosure Index Scale,DDI)、恐惧疾病进展简化量表(Fear of Progression Questionnaire-short Form,FOP-Q-SF)评估尿毒症血液透析患者预感性悲伤、自我表露、恐惧疾病进展。采用Pearson关性分析尿毒症血液透析患者预感性悲伤与自我表露、恐惧疾病进展的相关性。采用多因素Logistic回归分析尿毒症血液透析患者预感性悲伤的影响因素。结果:尿毒症血液透析患者AGS评分、DDI评分、FOP-Q-SF评分得分情况分别为(89.26±8.17)分、(31.28±5.69)分、(36.72±5.92)分。Pearson相关性分析结果显示,尿毒症血液透析患者AGS评分与DDI评分呈负相关,与FOP-Q-SF评分呈正相关(P<0.05)。单因素分析结果显示,尿毒症血液透析患者AGS评分与性别、年龄、文化程度、透析时间、家庭人均月收入、性格自我评定类型、主要照顾者有关(P<0.05)。多因素Logistic回归分析显示性别为女、文化程度小学及其以下、透析时间>5年、家庭人均月收入<3000元、性格自我评定类型为内向为尿毒症血液透析患者预感性悲伤的影响因素(P<0.05)。结论:尿毒症血液透析患者预感性悲伤与痛苦自我表露呈负相关、与恐惧疾病进展呈正相关,且性别为女、文化程度小学及其以下、透析时间>5年、家庭人均月收入<3000元、性格自我评定类型为内向为尿毒症血液透析患者预感性悲伤的影响因素。
Objective:To explore the correlation between anticipatory grief and self-disclosure,fear of disease progression and its influencing factors in uremic hemodialysis patients.Method:Convenience sampling was used to prospectively select 187 uremic hemodialysis patients who received treatment in Tinghu District People's Hospital of Yancheng from March 2023 to January 2025.Based on the case data,general information of uremic hemodialysis patients was obtained.The scores of anticipatory grief scale(AGS),distress disclosure index scale(DDI),and fear of progression questionnaire-short form(FOP-Q-SF)were used to evaluate anticipatory grief,self disclosure,and fear of disease progression in uremic hemodialysis patients.The correlation between AGS score,DDI score,and FOP-Q-SF score in uremic hemodialysis patients was analyzed by Pearson correlation analysis.The influencing factors of anticipatory grief in uremic hemodialysis patients was analyzed by multiple logistic regression.Result:The AGS score,DDI score,and FOP-Q-SF score in uremic hemodialysis patients were(89.26±8.17)score,(31.28±5.69)score,and(36.72±5.92)score,respectively.The Pearson correlation analysis results showed that the AGS score in uremic hemodialysis patients was negatively correlated with the DDI score,and positively correlated with the FOP-Q-SF score(P<0.05).The univariate results showed that the AGS score in uremic hemodialysis patients was related to gender,age,education level,dialysis time,per capita monthly income of the family,personality self-assessment type,and primary caregiver(p<0.05).Multivariate logistic regression analysis showed that gender was female,education level was primary school or below,dialysis time>5 years,average monthly household income<3000 yuan,personality self-evaluation type was introverted were the influencing factors of premonitive sadness in uremic hemodialysis patients(P<0.05).Conclusion:There is a negative correlation between anticipatory grief and distress disclosure,and a positive correlation between anticipatory grief and fear of progression in uremic hemodialysis patients.Gender was female,education level was primary school or below,dialysis time>5 years,average monthly household income<3000 yuan,personality self-evaluation type was introverted were the influencing factors of premonitive sadness in uremic hemodialysis patients.
作者
蒋花梅
田云
臧庆庆
汤莹洁
王明珠
JIANG Hua-mei;TIAN Yun;ZANG Qing-qing;TANG Ying-jie;WANG Ming-zhu(Department of Hematology,Tinghu District People's Hospital of Yancheng(Yancheng Sixth People's Hospital)Yancheng,Jiangsu,224061,China)
出处
《现代生物医学进展》
2026年第5期679-685,共7页
Progress in Modern Biomedicine
基金
盐城市医学科技发展计划(YK2017120)。
关键词
尿毒症
血液透析
预感性悲伤
自我表露
恐惧疾病进展
相关性
影响因素
Uremia
Hemodialysis
Premonitive sadness
Self disclosure
Fear of disease progression
Correlation
Influencing factors
