中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2015年
14期
1036-1039
,共4页
张倩倩%张奕琳%徐飒%张琳%岳晓红%高豆青%单岩
張倩倩%張奕琳%徐颯%張琳%嶽曉紅%高豆青%單巖
장천천%장혁림%서삽%장림%악효홍%고두청%단암
老年人%腹膜透析%社会支持%自我感受负担%应对方式
老年人%腹膜透析%社會支持%自我感受負擔%應對方式
노년인%복막투석%사회지지%자아감수부담%응대방식
Aged%Peritoneal dialysis%Social support%Self-perceived burden%Coping style
目的 了解老年持续不卧床腹膜透析患者自我感受负担现状,并探讨其自我感受负担与社会支持、应对方式的相关性.方法 采用自行设计的一般情况调查表、自我感受负担量表、社会支持评定量表、简易应对方式问卷,对门诊随访的103例老年持续不卧床腹膜透析患者进行调查.结果 老年腹膜透析患者的自我感受负担处于中度水平,其总分为(36.67±3.67)分;社会支持总分、积极应对和消极应对得分分别为(40.27±5.83)、(1.69±0.26)、(1.80±0.40)分,与国内常模的(34.56±3.73)、(1.78±0.52)、(1.59±0.66)分相比差异有统计学意义,P＜0.01.相关分析发现,自我感受负担与积极应对方式得分、社会支持总分、客观支持得分、主观支持得分、社会支持利用度得分均呈负相关,r值分别为-0.239、-0.668、-0.725、-0.252、-0.647,P＜0.05或＜0.01.结论 医护人员需激发老年腹膜透析患者充分利用社会资源,并引导其采取积极的态度应对透析事件,可使其心理长期处于良好状态,降低患者自我感受负担.
目的 瞭解老年持續不臥床腹膜透析患者自我感受負擔現狀,併探討其自我感受負擔與社會支持、應對方式的相關性.方法 採用自行設計的一般情況調查錶、自我感受負擔量錶、社會支持評定量錶、簡易應對方式問捲,對門診隨訪的103例老年持續不臥床腹膜透析患者進行調查.結果 老年腹膜透析患者的自我感受負擔處于中度水平,其總分為(36.67±3.67)分;社會支持總分、積極應對和消極應對得分分彆為(40.27±5.83)、(1.69±0.26)、(1.80±0.40)分,與國內常模的(34.56±3.73)、(1.78±0.52)、(1.59±0.66)分相比差異有統計學意義,P＜0.01.相關分析髮現,自我感受負擔與積極應對方式得分、社會支持總分、客觀支持得分、主觀支持得分、社會支持利用度得分均呈負相關,r值分彆為-0.239、-0.668、-0.725、-0.252、-0.647,P＜0.05或＜0.01.結論 醫護人員需激髮老年腹膜透析患者充分利用社會資源,併引導其採取積極的態度應對透析事件,可使其心理長期處于良好狀態,降低患者自我感受負擔.
목적 료해노년지속불와상복막투석환자자아감수부담현상,병탐토기자아감수부담여사회지지、응대방식적상관성.방법 채용자행설계적일반정황조사표、자아감수부담량표、사회지지평정량표、간역응대방식문권,대문진수방적103례노년지속불와상복막투석환자진행조사.결과 노년복막투석환자적자아감수부담처우중도수평,기총분위(36.67±3.67)분;사회지지총분、적겁응대화소겁응대득분분별위(40.27±5.83)、(1.69±0.26)、(1.80±0.40)분,여국내상모적(34.56±3.73)、(1.78±0.52)、(1.59±0.66)분상비차이유통계학의의,P＜0.01.상관분석발현,자아감수부담여적겁응대방식득분、사회지지총분、객관지지득분、주관지지득분、사회지지이용도득분균정부상관,r치분별위-0.239、-0.668、-0.725、-0.252、-0.647,P＜0.05혹＜0.01.결론 의호인원수격발노년복막투석환자충분이용사회자원,병인도기채취적겁적태도응대투석사건,가사기심리장기처우량호상태,강저환자자아감수부담.
Objective To examine the status of self-perceived burden in patients with continuous ambulatory peritoneal dialysis and explore the relationships among social support,coping styles and self-perceived burden.Methods 103 elderly patients with peritoneal dialysis of outpatient follow-up were recruited.They were investigated using Self-Perceived Burden Scale,Social Support Rating Scale,and Simplified Coping Style Questionnaire.Results The total score of self-perceived burden was at a moderate level and the average score was (36.67±3.67).The total score of social support,the average score of positive coping and negative coping were (40.27±5.83),(1.69±0.26),(1.80±0.40),then the difference was statistically significant when compared with domestic norm (34.56±3.73),(1.78±0.52),(1.59±0.66) (P＜0.05).The analysis found that self-perceived burden was negatively correlated with positive coping styles,social support and each dimension (r =-0.239,-0.668,-0.725,-0.252,-0.647,P＜0.05).Conclusions Medical personnel should inspire elderly patients to make full use of social resources and guide them to take positive attitude to deal with dialysis event.It would help them maintain well psychological condition for a long time and reduce the self-perceived burden of patients.
