血液透析患者生命意义感及经验性回避对自我和谐水平的影响  

Study of relationship among sense of meaning of life, experiential avoidance and self consistency in patients under hemodialysis based on theory of logotherapie

作　　者：陶巍巍[1] 陈正女[2] 丁淑贞[3] Tao Weiwei;Chen Zhengnv;Ding Shuzhen(Department of Nursing,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China)

机构地区：[1]大连医科大学护理学院,116044 [2]大连医科大学附属第一医院内分泌科,116011 [3]大连医科大学附属第一医院护理部,116011

出　　处：《中国实用护理杂志》2018年第32期2481-2485,共5页Chinese Journal of Practical Nursing

基　　金：2017年辽宁省高等学校基本科目研究（青年项目）（LQ2017044）

摘　　要：目的探讨维持性血液透析患者自我和谐特征，及其与人口社会学资料、生命意义、经验性回避等的相关性。方法以意义治疗理论作为框架，采用自我和谐量表、生命意义感量表、接纳与行动问卷第二版及自设社会人口学资料问卷对146例接受维持性血液透析治疗的患者进行测量，同时收集患者社会人口学资料，分析血液透析患者自我和谐现状及相关因素。结果血液透析患者自我和谐总分为（94．34±16．13）分，自我和谐量表自我刻板性维度得分为（21．22±5．16）分，高于大学生常模的（18．12±5．09）分，差异有统计学意义（t=5．132，P〈0．01），而其余维度则与常模差异无统计学意义。方差分析、相关分析及多因素回归分析显示，经验性回避、生命意义感、透析龄、自理程度和受教育程度等均会对患者自我和谐水平产生影响，共同解释了总变异的55．40％。结论为改善维持性血液透析患者自我和谐水平，可以考虑通过提高生命意义感、减少经验性回避等方面进行干预和努力。Objective Analysis the relationship between influencing factors and self consistency among patients under maintenance hemodialysis. Methods A total of 146 patients under maintenance hemodialysis were investigated, Research tools include： the self-designed basic information questionnaire, Self Consistency and Congruence Scale, The Meaning in Life Questionnaire, and Acceptance Action Questionnaire. One-way anova, correlation analysis,muhiple regression analysis were used to analyze the relationship between influencing factors and self consistency. Results The average score of self consistency and congruence was （94.34± 16.13）. The score of self-stereotype dimension was （21.22±5.16）, higher than that of norm of college students （t=5.132, P〈0.01）.While there was no difference in the other 2 dimensions of self consistency. The predictors of self consistency and congruence included Duration of dialysis, education level, sense of meaning of life, and experiential avoidance of patients,and these explained 55.40% of the total variance. Conclusions Promoting sense of meaning of life and lower experiential avoidance may help to improve self consistency and congruence for patients under maintenance hemodialysis.

关 键 词：血液透析 自我和谐 生命意义感 经验性回避 

分 类 号：R473.5[医药卫生—护理学]