| 赵 洁,杨 峰,王 华,李文亮,蒙军平.维持性血液透析患者孤独状况与社会支持的关系研究[J].,2019,19(24):4748-4751 |
| 维持性血液透析患者孤独状况与社会支持的关系研究 |
| Relationship between Loneliness and Social Support in Maintenance Hemodialysis Patients |
| 投稿时间：2019-09-07 修订日期：2019-09-30 |
| DOI：10.13241/j.cnki.pmb.2019.24.034 |
| 中文关键词: 维持性血液透析 孤独 社会支持 关系 |
| 英文关键词: Maintenance hemodialysis patients Loneliness Social support Relationship |
| 基金项目:陕西省社会发展科技攻关项目(2016SF1068） |
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| 中文摘要: |
| 摘要 目的：调查维持性血液透析（MHD）患者的孤独状况，并探讨其与社会支持的关系。方法：采用问卷调查的方式对145例2018年1月至2019年6月期间来我院就诊的MHD患者（实验组）和同期150例健康状况良好正常人（对照组）进行调查，内容包括一般资料调查表、孤独量表（UCLA）、社会支持评定量表（SSRS），单因素Logistic回归模型筛选出造成孤独状况的危险因素，再采用非条件多因素Logistic回归模型计算危险因素与疾病的相关性。结果：实验组UCLA得分为（65.12±12.38）分，明显高于对照组的（25.38±5.57）分（P＜0.05），实验组SSRS量表中客观支持、主观支持、支持利用度以及总分分别为（14.86±1.89）分、（13.12±2.13）分、（10.88±1.56）分、（35.21±11.82）分，均低于对照组的（18.78±3.23）分、（20.95±3.06）分、（15.61±2.28）分、（50.98±15.24）分（P＜0.05）。多因素非条件Logistic回归显示MHD患者孤独状态的危险因素依次是客观支持、主观支持、支持利用度、透析年限及年龄（OR=5.246、4.568、4.315、4.172、2.342,均P＜0.05）。结论：MHD患者处于较为严重的孤独状态，社会支持是造成患者孤独状况的首要危险因素，良好的社会支持可以改善MHD患者的孤独状况。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the loneliness of maintenance hemodialysis patients (MHD), and to explore its relationship with social support. Methods: 145 patients with MHD (experimental group)and 150 normal healthy people(control group)who came to our hospital from January 2018 to June 2019 were investigated with general information, UCLA loneliness scale(UCLA)and social support rating scale(SSRS). Data were analyzed by SPSS 17.0. Selected risk factors by using univariate logistic regression model, and then using multivariate unconditional logistic regression model to calculate correlation between risk factors and loneliness. Results: The score of the UCLA loneliness scale in experimental group was（65.12±12.38） scores higher than that（25.38±5.57） scores of control group(P<0.05), objective support, subjective support, support utilization and total score of SSRS in the experimental group were respectively （14.86±1.89） scores, （13.12±2.13） scores, （10.88±1.56） scores, （35.21±11.82） scores, all were lower than those of （18.78±3.23） scores, （20.95±3.06） scores, （15.61±2.28） scores, （50.98±15.24） scores in the control group(P<0.05). Multi factors non conditional Logistic regression showed that risk factors of lonely state of MHD patients were objective support, subjective support, support utilization, duration of dialysis and age(OR=5.246, 4.568, 4.315, 4.172, 2.342, all P＜0.05). Conclusion: The state of loneliness was relatively worse in MHD patients, social support is the primary risk factor for loneliness of patient, thus better social support can improve the loneliness status of MHD patients. |
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