维持性血液透析患者心理弹性、医学应对方式的现状及相关性分析  

Analysis on the status and correlation of psychological resilience and medical coping style in maintenance hemodialysis patients

作　　者：吴柳玉 林宜晓 许艳艳 韦泽丰 WU Liuyu;LIN Yixiao;XU Yanyan(Blood Purification Room of the Second Affiliated Hospital of Hainan Medical College,Haikou 570100,China)

机构地区：[1]海南医学院第二附属医院血液净化室,海口570100 [2]海南医学院第二附属医院感染病与热带病科三病区

出　　处：《国际精神病学杂志》2025年第1期287-289,297,共4页Journal Of International Psychiatry

基　　金：海南省卫生健康行业科研项目(编号:20A200532)。

摘　　要：目的 分析维持性血液透析(Maintenance hemodialysis,MHD)患者心理弹性、医学应对方式的现状及两者之间的相关性。方法 观察我院于2021年1月~2023年1月诊治的MHD患者80例,将其设为MHD组,并挑选同一时间在我院进行体检的100例健康者归为对照组。记录两组研究对象心理弹性各维度评分,观察两组研究对象医学应对方式各维度评分,并采用Pearson相关性分析MHD患者心理弹性状况与医学应对方式的关系。结果 在心理弹性各维度评分方面,MHD组坚韧、自强、乐观因子得分更低(P<0.05);在医学应对方式各维度评分方面,MHD组面对因子得分更低,回避、屈服因子得分更高(P<0.05);相关性分析显示,坚韧、自强、乐观与面对呈正相关,与回避、屈服呈负相关(P<0.05)。结论 MHD患者心理弹性水平较低,且面对疾病时更倾向于回避和屈服的应对方式,同时两者存在明显相关性,需要临床给予高度重视。Objective To analyze the psychological resilience and medical coping style of patients with Maintenance hemodialysis(Maintenance hemodialysis,MHD)and their correlation.Methods A total of 80 MHD patients diagnosed and treated in our hospital from January 2021 to January 2023 were selected as the MHD group,and 100 healthy patients undergoing physical examination in our hospital at the same time were selected as the control group.Scores of mental resilience in the two groups were recorded,scores of medical coping styles in the two groups were observed,and Pearson correlation was used to analyze the relationship between mental resilience and medical coping styles in MHD patients.Results In terms of mental resilience scores,the MHD group had lower scores of toughness,self-reliance and optimism factors(P<0.05).In terms of the scores of various dimensions of medical coping styles,MHD group had lower scores of face factor and higher scores of avoidance and submission factor(P<0.05).The correlation analysis shows that tenacity,self-reliance and optimism are positively correlated with facing,and negatively correlated with avoidance and submission(P<0.05).Conclusion MHD patients have a low level of mental resilience,and are more inclined to avoid and yield in the face of the disease,and there is an obvious correlation between the two,which needs clinical attention.

关 键 词：维持性血液透析 心理弹性 医学应对方式 相关性 

分 类 号：R749.99[医药卫生—神经病学与精神病学]