中华医学教育探索杂志
中華醫學教育探索雜誌
중화의학교육탐색잡지
Chinese Journal of Medical Education Research
2014年
8期
826-829,830
,共5页
谢钧润%陈珑%李敏%刘宏
謝鈞潤%陳瓏%李敏%劉宏
사균윤%진롱%리민%류굉
肾透析患者%心理弹性%社会支持%正负性情绪%简易应对方式
腎透析患者%心理彈性%社會支持%正負性情緒%簡易應對方式
신투석환자%심리탄성%사회지지%정부성정서%간역응대방식
Renal dialysis patients%Resilience%Social support%Positive and negative affect%Simplified coping style
目的：了解肾透析患者的心理弹性及影响因素，用于指导临床教学。方法使用心理弹性问卷（Connor-Davidson resilience scale， CD-RISC）、简单应对方式问卷（simplified coping style questionnaire， SCSQ）、领悟社会支持量表（perceived social support scale， PSSS）以及正负性情绪量表（positive and negative affect scale， PANAS），对2013年1至3月在西南医院和新桥医院肾内科就诊的160名肾透析患者进行问卷调查，共获得有效问卷156份，采用二次输入的方式将问卷信息输入计算机，使用SPSS 18.0对问卷数据进行单因素方差分析、相关分析及逐步回归分析。结果肾透析患者的心理弹性在性别、肾透析的频率、肾透析时间上的差异没有统计学意义（P>0.05），在心理弹性和积极情绪上，31~岁组明显高于41~岁组（P=0.000），初中和大专以上学历明显高于小学组（P=0.000，P=0.000），线性回归分析中，心理弹性与社会支持、积极应对、正性情绪呈显著正相关，与负性情绪显著负相关。结论40岁以上、学历较低的肾透析患者的心理弹性较低、积极应对较少，更容易出现负性情绪，不利于疾病康复和治疗。提高肾透析患者的积极应对、领悟社会支持、正性情绪，降低其负性情绪有利于心理弹性的提高。
目的：瞭解腎透析患者的心理彈性及影響因素，用于指導臨床教學。方法使用心理彈性問捲（Connor-Davidson resilience scale， CD-RISC）、簡單應對方式問捲（simplified coping style questionnaire， SCSQ）、領悟社會支持量錶（perceived social support scale， PSSS）以及正負性情緒量錶（positive and negative affect scale， PANAS），對2013年1至3月在西南醫院和新橋醫院腎內科就診的160名腎透析患者進行問捲調查，共穫得有效問捲156份，採用二次輸入的方式將問捲信息輸入計算機，使用SPSS 18.0對問捲數據進行單因素方差分析、相關分析及逐步迴歸分析。結果腎透析患者的心理彈性在性彆、腎透析的頻率、腎透析時間上的差異沒有統計學意義（P>0.05），在心理彈性和積極情緒上，31~歲組明顯高于41~歲組（P=0.000），初中和大專以上學歷明顯高于小學組（P=0.000，P=0.000），線性迴歸分析中，心理彈性與社會支持、積極應對、正性情緒呈顯著正相關，與負性情緒顯著負相關。結論40歲以上、學歷較低的腎透析患者的心理彈性較低、積極應對較少，更容易齣現負性情緒，不利于疾病康複和治療。提高腎透析患者的積極應對、領悟社會支持、正性情緒，降低其負性情緒有利于心理彈性的提高。
목적：료해신투석환자적심리탄성급영향인소，용우지도림상교학。방법사용심리탄성문권（Connor-Davidson resilience scale， CD-RISC）、간단응대방식문권（simplified coping style questionnaire， SCSQ）、령오사회지지량표（perceived social support scale， PSSS）이급정부성정서량표（positive and negative affect scale， PANAS），대2013년1지3월재서남의원화신교의원신내과취진적160명신투석환자진행문권조사，공획득유효문권156빈，채용이차수입적방식장문권신식수입계산궤，사용SPSS 18.0대문권수거진행단인소방차분석、상관분석급축보회귀분석。결과신투석환자적심리탄성재성별、신투석적빈솔、신투석시간상적차이몰유통계학의의（P>0.05），재심리탄성화적겁정서상，31~세조명현고우41~세조（P=0.000），초중화대전이상학력명현고우소학조（P=0.000，P=0.000），선성회귀분석중，심리탄성여사회지지、적겁응대、정성정서정현저정상관，여부성정서현저부상관。결론40세이상、학력교저적신투석환자적심리탄성교저、적겁응대교소，경용역출현부성정서，불리우질병강복화치료。제고신투석환자적적겁응대、령오사회지지、정성정서，강저기부성정서유리우심리탄성적제고。
Objective To investigate renal dialysis patients' resilience and influencing factors for clinical teaching. Methods Connor-Davidson resilience scale(CD-RISC),simplified coping style questionnaire (SCSQ), perceived social support scale (PSSS) and positive and negative affect scale (PANAS) were used for a survey of 160 renal dialysis patients in Xinan Hospital and Xinqiao Hospital (156 valid questionnaires) and the questionnaire information was put into the computer by the two-input mode and was made the questionnaire data analysis, single factor analysis and variance and re-gression analysis of by SPSS 18.0. Results Renal dialysis patients' resilience has no significant differ-ence in gender, frequency of kidney dialysis and kidney dialysis time (P>0.05), but resilience and positive coping scores of the age group between 31 to 40 were significantly higher than those of the group between 41-50 group(P=0.000). Taking the education background into consideration, resilience and positive coping scores of junior high school or above education were significantly higher than those of primary school education (P=0.000,P=0.000). Positive emotion, positive coping, and social support were positively correlated with resilience and negative emotions were negatively correlated with resilience in linear regression analysis. Conclusion Kidney dialysis patients who are over the age of 40 and less educated may have lower resilience, and less positive coping, more prone to nega-tive emotions, which is not conducive to the rehabilitation and treatment of disease. For kidney dialysis patients, improving their positive response, perceived social support and positive mood, and reducing their negative emotions are beneficial to the improvement of their resilience.
