CAJ | 학술논문

目的：探讨基层医院维持性血液透析( MHD)患者家庭关怀度与希望水平的关系。方法采用Herth希望量表和家庭关怀度指数问卷对280例MHD基层医院患者进行问卷调查,采用Pearson相关分析法和分层回归分析法探讨家庭关怀度对MHD患者希望水平的影响。结果 MHD患者的总体希望水平得分为(29.04±4.23)分,处于中等水平,其中,希望水平较低者占15.00%(42/280),希望水平中等者占62.86%(176/280),希望水平较高者占22.14%(62/280)；MHD患者家庭关怀度总分为(6.45±1.51)分,家庭关怀度障碍者61.07%(171/280),其中家庭关怀度障碍者占38.21%(107/280),家庭关怀度严重障碍者占22.86%(64/280)；Pearson相关分析显示,对现实和未来的积极态度( T)、积极的行动( P)、与他人保持亲密的关系( I)及希望总分与其家庭关怀度中的适应度、合作度、成长度、情感度、亲密度及总分均呈显著正相关(P<0.05)；不同性别、文化水平、职业、婚姻状况、医疗支付方式组别比较,差异均有统计学意义(P<0.05),希望水平与年龄、家庭收入均呈显著正相关(r值分别为0.312,0.387；P<0.05),与接受照护时间、并发症数目、血液透析时间均呈显著负相关( r值分别为-0.298,-0.364,-0.304；P<0.05)；分层回归分析显示,家庭关怀度中的适应度、亲密度和情感度可联合解释MHD患者希望水平总变异的30.50%(△R2=0.305,P<0.05)。结论基层医院MHD患者希望水平处于中等水平,家庭关怀度中度障碍,而家庭关怀度是其希望水平的影响因素。
목적：탐토기층의원유지성혈액투석( MHD)환자가정관부도여희망수평적관계。방법채용Herth희망량표화가정관부도지수문권대280례MHD기층의원환자진행문권조사,채용Pearson상관분석법화분층회귀분석법탐토가정관부도대MHD환자희망수평적영향。결과 MHD환자적총체희망수평득분위(29.04±4.23)분,처우중등수평,기중,희망수평교저자점15.00%(42/280),희망수평중등자점62.86%(176/280),희망수평교고자점22.14%(62/280)；MHD환자가정관부도총분위(6.45±1.51)분,가정관부도장애자61.07%(171/280),기중가정관부도장애자점38.21%(107/280),가정관부도엄중장애자점22.86%(64/280)；Pearson상관분석현시,대현실화미래적적겁태도( T)、적겁적행동( P)、여타인보지친밀적관계( I)급희망총분여기가정관부도중적괄응도、합작도、성장도、정감도、친밀도급총분균정현저정상관(P<0.05)；불동성별、문화수평、직업、혼인상황、의료지부방식조별비교,차이균유통계학의의(P<0.05),희망수평여년령、가정수입균정현저정상관(r치분별위0.312,0.387；P<0.05),여접수조호시간、병발증수목、혈액투석시간균정현저부상관( r치분별위-0.298,-0.364,-0.304；P<0.05)；분층회귀분석현시,가정관부도중적괄응도、친밀도화정감도가연합해석MHD환자희망수평총변이적30.50%(△R2=0.305,P<0.05)。결론기층의원MHD환자희망수평처우중등수평,가정관부도중도장애,이가정관부도시기희망수평적영향인소。
Objective To explore the correlation between the family care and the hope level in maintenance hemodialysis ( MHD) patients in grassroots hospital. Methods A total of 280 MHD patients were questionnaired by Herth Hope Scale and the Family APGAR Index. Pearson correlation analysis and hierarchical regression analysis were used to explore the effect of family care on the hope level in MHD patients. Results The total score of hope level in MHD patients was (29. 04 ± 4. 23) staying in medium level, and 15. 00% (42/280) of them in the low level, 62. 86% (176/280) of them in the medium level, and 22. 14%(62/280) of them in the high level. The total score of family care in MHD patients was (6. 45 ± 1. 51), and 61. 07% ( 171/280 ) of them suffered the family care disability, among them, 22. 86% ( 64/280 ) MHD patients′family care was serious disability, and 38. 21% (107/280) MHD patients′family care were moderate disability. Pearson correlation analysis shew that the reality, positive attitude ( T ) in the future, positive behavior ( P) , intimate relations with others ( I) and total hope score had positive correlation with family care of adaptive level, cooperation, growing level, emotional level, intimate level and total score (P<0. 05). There were significant difference of hope level in the patients with different gender, culture level, occupation, marital status, medical payment (P<0. 05), and the hope level was significantly positively correlated with age (r=0. 312, P<0. 05) and family income(r=0. 387,P<0. 05), and was significantly negatively correlated with the receiving care time (r= -0. 298,P<0. 05), the length of MHD (r= -0. 304,P<0. 05) and the number of complication incidences (r= -0. 364,P<0. 05). Hierarchical regression analysis shew that adaptive level, intimate level and emotional level could explained 30. 50% of the total variance of the hope level in MHD patients (△R2 =0. 305,P<0. 05). Conclusions The hope level in MHD patients is in the medium level, and family care is poor. Family function may be the important influence factor of the hope level in MHD patients.