首页|慢性肾衰竭患者心理一致感水平及其相关影响因素分析

慢性肾衰竭患者心理一致感水平及其相关影响因素分析

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目的 分析慢性肾衰竭患者心理一致感水平,并探讨其相关影响因素.方法 选取2019-08-01-2022-08-31南昌大学第二附属医院住院治疗的86例慢性肾衰竭患者作为研究对象,采用中文版心理一致感量表(SOC-13)评估患者心理一致感状况,并采用t检验或单因素方差分析比较不同特征的慢性肾衰竭患者SOC-13评分,多元线性回归分析明确影响慢性肾衰竭患者心理一致感水平的影响因素.结果 慢性肾衰竭患者SOC-13评分(61.25±6.79)分;不同家庭人均月收入(t=8.399,P<0.001)、文化程度(t=6.989,P<0.001)、社会支持(F=14.314,P<0.001)、自我效能(F=14.996,P<0.001)的慢性肾衰竭患者SOC-13评分比较,差异有统计学意义;经多元线性回归分析结果显示,文化程度低(t=-3.333,95%CI 为-10.662~-2.693,P=0.001)、家庭人均月收入低(t=-5.718,95%CI 为-13.302~-6.446,P<0.001)、自我效能低(t=-2.940,95%CI 为-10.774~-2.080,P=0.004)、社会支持低(t=-3.626,95%CI为-11.682~-3.406,P<0.001)是影响慢性肾衰竭患者心理一致感水平的危险因素.结论 慢性肾衰竭患者心理一致感水平较低,主要受家庭人均月收入、文化水平、社会支持、自我效能等因素的影响.
Analysis of the level of psychological consistency and its related influencing factors in patients with chronic renal failure
Objective To analyze the level of psychological consistency in patients with chronic renal failure and explore its related influencing factors.Methods Totally 86 patients with chronic renal failure who were treated in the Second Affilia-ted Hospital of Nanchang University from August 1,2019 to August 31,2022 were selected as the study subjects.The Chinese version of the psychological consistency scale(SOC-13)was used to evaluate the psychological consistency of pa-tients,and t-test or one-way ANOVA was used to compare the SOC-13 scores of patients with chronic renal failure with different characteristics,so as to identify the influencing factors of the psychological consistency level of patients with chronic renal failure.Results The SOC-13 score of patients with chronic renal failure was(61.25±6.79)points.There were statistically significant differences in SOC-13 scores among patients with chronic kidney failure who had different family monthly income per capita(t=8.399,P<0.001),educational level(t=6.989,P<0.001),social support(F=14.314,P<0.001),and self-efficacy(F=14.996,P<0.001).The results of multiple linear regression analysis showed that low educational level(t=-3.333,95%CI was-10.662 to-2.693,P=0.001),low monthly income per capita(t=-5.718,95%CI was-13.302 to-6.446,P<0.001),low self-efficacy(t=-2.940,95%CI was-10.774 to-2.080,P=0.004),and low social support(t=-3.626,95%CI was-11.682 to-3.406,P<0.001)were risk fac-tors affecting the psychological consistency level of patients with chronic kidney failure.Conclusion The psychological consistency level of patients with chronic kidney failure is relatively low,mainly influenced by factors such as per capita monthly income,educational level,social support,self-efficacy,etc.

chronic renal failurepsychological consistency levelsocial supportself-efficacy

谭丽、张小雪

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南昌大学第二附属医院血透室,江西南昌 330000

慢性肾衰竭 心理一致感水平 社会支持 自我效能

2024

社区医学杂志
中华预防医学会

社区医学杂志

影响因子:0.588
ISSN:1672-4208
年,卷(期):2024.22(18)