终末期肾病血液透析患者心智觉知度状态与疾病感知压力、经济水平及家庭支持度的相关性  

Relationship between mindfulness status and disease perceived stress,economic level and family support in patients with end-stage renal disease undergoing hemodialysis

作　　者：闫珍珍 王琰[1] 张瑞[1] 杨盼盼 刘敏[1] 赵占正[1] YAN Zhenzhen;WANG Yan;ZHANG Rui;YANG Panpan;LIU Min;ZHAO Zhanzheng(Nephrology Department,Zhengzhou University First Affiliated Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院肾脏内科,450052

出　　处：《中国健康心理学杂志》2025年第3期439-444,共6页China Journal of Health Psychology

基　　金：河南省中原科技创新领军人才项目(编号:194200510006)。

摘　　要：目的:调查终末期肾病(ESRD)血液透析患者心智觉知度状态,并分析其与疾病感知压力、经济水平及家庭支持度的相关性。方法:采用心智觉知注意觉知量表(MAAS)、感知压力量表(PSS)、主观与客观社会经济地位、家庭关怀度指数问卷(APGAR)对2022年1月-2023年8月某院收治的102例行维持性血液透析(MHD)治疗的ESRD患者进行调查。结果:102例ESRD患者MAAS平均得分为55.06±10.33分,其中45例心智觉知度低、39例心智觉知度中、18例心智觉知度高。心智觉知度低者并发症发生率明显高于心智觉知度高者(χ^(2)=8.257,P<0.05),Logistic回归分析显示,并发症是引起ESRD患者心智觉知度低的危险因素(OR=3.071,95%CI:1.766~5.341,P<0.05)。心智觉知度低者PSS评分显著高于心智觉知度中与心智觉知度高者(P<0.05),主观与客观社会经济地位评分及APGAR评分则显著低于心智觉知度中与心智觉知度高者(P<0.05);心智觉知度中者PSS评分高于心智觉知度高者(P<0.05),主观与客观社会经济地位评分、APGAR评分低于心智觉知度高者(P<0.05)。Pearson相关系数分析显示,ESRD患者MAAS评分与PSS评分呈显著负相关(r=-0.632,P<0.05),与主观与客观社会经济地位评分及APGAR评分呈显著正相关(r=0.599,0.534,0.489;P<0.05)。结论:ESRD患者心智觉知度与感知压力、主客观社会经济地位、家庭支持度有关,且MHD治疗期间出现并发症可导致ESRD患者心智觉知度低下,可从患者心理、家庭、临床治疗等多方面着手提高心智觉知度。Objective:To investigate the mindfulness status in patients with end-stage renal disease(ESRD)undergoing hemodialysis,and to analyze its correlation with disease perceived stress,economic level and family support.Methods:A total of 102 ESRD patients undergoing maintenance hemodialysis(MHD)treatment from January 2022 to August 2023 were investigated by using Mindful Attention Awareness Scale(MAAS),Perceived Stress Scale(PSS),subjective and objective socioeconomic status,and family caring index(APGAR).Results:The average score of MAAS in 102 patients with ESRD was(55.06±10.33)points,and there were 45 cases of low mindfulness,39 cases of moderate mindfulness and 18 cases of high mindfulness.The incidence of complications in patients with low mindfulness was significantly higher than that in patients with high mindfulness(χ^(2)=8.257,P<0.05).Logistic regression analysis showed that complication was the risk factors for low mindfulness in patients with ESRD(OR=3.071,95%CI:1.766-5.341,P<0.05).PSS score in patients with low mindfulness was significantly higher than that in patients with moderate mindfulness and high mindfulness(P<0.05)while the scores of subjective and objective socioeconomic status and APGAR were significantly lower than those in patients with moderate mindfulness and high mindfulness(P<0.05).The PSS score in patients with moderate awareness was higher(P<0.05)while the scores of subjective and objective socioeconomic status and APGAR were lower compared to patients with high mindfulness(P<0.05).Pearson correlation coefficient analysis showed that MAAS score in patients with ESRD was significantly negatively correlated with PSS score(r=-0.632,P<0.05),and was significantly positively correlated with subjective and objective socioeconomic status scores and APGAR score(r=0.599,0.534,0.489;P<0.05).Conclusion:The mindfulness in patients with ESRD is related to the perceived stress,subjective and objective socioeconomic status and family support.Complications during MHD treatment can lead to low mindfulness

关 键 词：终末期肾病 血液透析 心智觉知 感知压力 社会经济地位 家庭支持 

分 类 号：R395.6[哲学宗教—心理学] R749.92[医药卫生—医学心理学]