老年肾衰竭血液透析患者生活质量与心理弹性、社会支持、自我感受负担的相关性

Correlation between quality of life and psychological resilience,social support and self-perceived burden in elderly patients un-dergoing hemodialysis for renal failure

中文关键词: 老年  肾衰竭  血液透析  生活质量  心理弹性  社会支持  自我感受负担

英文关键词: elderly  renal failure  hemodialysis  quality of life  psychological resilience  social support  self-perceived burden

中文摘要:

      目的 分析老年肾衰竭血液透析患者生活质量与心理弹性、社会支持及自我感受负担的关系,为改善此类患者生活质量提供理论依据.方法 选取2018 年3 月—2023 年9 月在如皋市人民医院进行血液透析治疗的100 例老年肾衰竭患者为研究对象,以多元线性回归分析老年肾衰竭血液透析患者生活质量的影响因素,采用Pearson相关性分析患者生活质量与心理弹性、社会支持及自我感受负担的关系.结果 100 例老年肾衰竭血液透析患者健康状况调查问卷(SF-36)评分为(70.26±7.29)分;多元线性回归分析结果显示,心理弹性、社会支持及自我感受负担水平是老年肾衰竭血液透析患者生活质量的影响因素(P＜0.05);Pearson相关性分析显示,老年肾衰竭血液透析患者SF-36 评分与心理弹性量表(CD-RISC)量表总分及各维度评分呈正相关(P＜0.05),与社会支持量表(SSRS)量表总分及各维度评分呈正相关(P＜0.05),与自我感受负担量表(SPBS)总分呈负相关(P＜0.05).结论 老年肾衰竭血液透析患者生活质量有待提高,可受到心理弹性、社会支持及自我感受负担的影响,临床制定措施可从提高心理弹性、社会支持及减少自我感受负担入手,以改善生活质量.

英文摘要:

      Objective To analyze the relationship between the quality of life and psychological resilience,social sup-port,and self-perceived burden in elderly patients undergoing hemodialysis for renal failure,and provide a theoretical basis for improving the quality of life of these patients.Methods A total of 100 elderly patients with renal failure who underwent hemo-dialysis treatment in People's Hospital of Rugao City from March 2018 to September 2023 were selected as the research sub-jects.Multivariate linear regression was used to identify the factors influencing the quality of life of elderly patients undergoing hemodialysis for renal failure.Pearson correlation analysis was used to analyze the relationship between the quality of life and psychological resilience,social support,and self-perceived burden in these patients.Results The score of the Short Form 36 Health Survey Questionnaire(SF-36)of the100 patients was(70.26±7.29).Multivariate linear regression analysis results showed that psychological resilience,social support,and self-perceived burden were influencing factors of the quality of life of elderly patients undergoing hemodialysis for renal failure(P＜0.05).Pearson correlation analysis showed that SF-36 score was positively correlated with the total score of Connor-Davidson Resilience Scale(CD-RISC)and scores of all dimensions in these patients(P＜0.05),positively correlated with the total score of Social Support Rating Scale(SSRS)and scores of all dimen-sions(P＜0.05),and negatively correlated with the total score of Self-Perceived Burden Scale(SPBS)(P＜0.05).Conclusion The quality of life of elderly patients undergoing hemodialysis for renal failure needs to be improved,which can be affected by psychological resilience,social support,and self-perceived burden.Clinical measures can be developed to im-prove their quality of life by improving psychological resilience and social support,and reducing their self-perceived burden.