Analysis of mental resilience and its influencing factors in hemodialysis patients with uremia
Objective To observe the status quo of mental resilience in hemodialysis patients with uremia and analyze relat-ed influencing factors,in order to provide reference for clinical practice.Methods A total of 96 patients with uremia who underwent hemodialysis treatment in Jiujiang Hospital of Traditional Chinese Medicine from January 31,2020 to March 31,2023 were selected to investigate the basic data and psychological resilience of patients.According to the evaluation results of mental resilience level,they were divided into good group(n=50)and poor group(n=46),and the data of the two groups were compared to analyze the influencing factors of mental resilience level of uremia hemodialysis patients.Re-sults The score of mental resilience Scale(CD-RISC)of 96 patients was 59.34±8.46.Among them,50 cases(52.08％)had good mental resilience.Univariate analysis showed that the proportion of aged ≥60 years,education level of junior high school or below,dialysis time ≥3 years,negative coping and low self-efficacy in the poor mental resilience group was higher than that of good mental resilience group,with statistical significant difference,x2 values of 11.197,9.232,10.593,9.253,9.748,P values were 0.001,0.002,0.001,0.002,0.002.Logistic regression analysis showed that age ≥60 years old(β=1.429,OR=4.174,95％CI=1.647-10.580),education level of junior high school or be-low(β=1.232,OR=3.429,95％CI=1.600-7.345),dialysis duration ≥3 years(β=1.913,OR=6.774,95％CI=2.478-18.516),negative coping(β=1.378,OR=3.967,95％CI=1.795-8.765),low self-efficacy(β=1.496,OR=4.462,95％CI=1.692-11.767)were independent risk factors for mental resilience in hemodialysis patients with ure-mia.Conclusion The psychological resilience level of uremia hemodialysis patients is low,age ≥60 years old,education level of junior high school or below,dialysis time ≥3 years,negative coping and low self-efficacy are independent risk factors,which should be paid high attention to in clinical practice.
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