应对模型,人格特征,社会支持和临床结果在患者接受连续的门诊腹膜透析:一个随机试验的后期分析随机试验
Yifei Wu1,2,3,4, Xiao Xu1,2,3, Quan Wenxiang5
1Renal Division, Peking University First Hospital, Peking University Institute of Nephrology, No. 8, Xishiku Street, Xicheng District, Beijing, 100034, China.
Journal of nephrology
|September 14, 2024
概括
患者应对策略显著影响持续门诊腹膜透析 (CAPD) 的健康结果. 避开预测死亡率,而接受和对抗降低死亡风险,强调了在患者护理中需要综合应对支持的需要.
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
背景情况:
- 家庭透析,如持续的门诊腹膜透析 (CAPD),涉及非医疗因素,如社会支持和个性.
- 了解患者应对机制对于管理慢性疾病,如末期脏疾病至关重要.
研究的目的:
- 探索CAPD患者应对策略与他们的健康结果之间的关系.
- 研究社会支持和个性对这种关系的影响.
主要方法:
- 一个随机对照试验的后期分析,涉及150名事件CAPD患者.
- 使用医学应对方式问卷 (MCMQ) 评估应对策略 (回避,接受-放弃,对抗).
- 评估社会支持 (SSRS) 和人格 (EPQ) 作为潜在的混因素.
主要成果:
- 避免应对是所有原因死亡率的显著预测,独立于临床共变量.
- 更高的接受-放弃和对抗得分独立预测了较低的死亡风险.
- 避开和对抗也独立地预测了第一个发作膜炎;应对模式没有预测转移到血液透析.
- 社会支持和个性混了应对死亡率和腹膜炎的预测效应.
结论:
- 应对策略与CAPD患者的全因死亡率和腹膜炎独立相关.
- 这些关联受到社会支持和个性特征的影响.
- 建议将应对策略评估纳入CAPD患者的以患者为中心的护理.
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