在接受血液透析的患者中,与耻辱相关的因素:元分析和系统审查
Bangyang Li1,2, Peng Cai2, Xue Zhao2
1School of Nursing, Guizhou Medical University Guiyang 550000, Guizhou, China.
American journal of translational research
|September 12, 2024
概括
耻辱症对接受血液透析 (HD) 的患者产生重大影响,影响他们的生活质量和治疗坚持. 关键因素包括收入,居住地,并发症,家庭功能,自我效能,社会支持和心理困扰.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 耻辱感是血液透析 (HD) 患者普遍存在的问题,它会对社会联系,治疗坚持,抑郁风险和生活质量产生负面影响.
- 了解导致HD患者受到耻辱的因素至关重要,但目前缺乏足够的证据.
研究的目的:
- 进行元分析,以识别和量化血液透析患者中与耻辱相关的因素.
主要方法:
- 在多个中文和英语数据库中进行了全面的文献搜索.
- 包括到2024年5月25日发表的研究,重点关注HD患者的耻辱程度和促成因素.
- 数据提取,质量评估和选由两位研究人员独立进行,使用Stata 15.1进行分析,并通过敏感性和子组分析探索异质性.
主要成果:
- 在元分析中包括了12项中等或更高质量的研究.
- 综合平均污名度得分为59.30 (95% CI: 55.62至62.97).
- 与耻辱相关的重要因素包括人均月度家庭收入,居住地,并发症,家庭功能,自我效能,社会支持和心理困扰.
结论:
- 医疗保健专业人员应优先考虑在疾病重症患者中早期进行耻辱评估.
- 建议针对已识别的因素进行个性化干预.
- 促进有效的应对策略对于管理耻辱和改善患者结果至关重要.
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