在伊朗接受血液透析的患者中,疾病的不确定性与希望之间的关系:一个横截面研究
Seyyede Leila Sajjadi1, Maryam Vahidi2, Alireza Anarjani Sar1
1Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
BMJ open
|December 3, 2024
概括
接受血液透析的患者在疾病中经历了显著的不确定性. 这项研究发现,高等教育,收入,年轻年龄和等待移植与更低的不确定性和更大的希望相关. 干预措施应针对这些因素,以改善患者的福祉.
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
- 医疗保健管理的管理
背景情况:
- 接受血液透析的患者经常在疾病和绝望感中经历深刻的不确定性.
- 了解影响这些心理状态的因素对于改善患者护理和治疗结果至关重要.
研究的目的:
- 调查伊朗血液透析患者疾病不确定性的患病率和影响.
- 检查疾病中的不确定性与希望之间的关系,特别是这种患者群体中的代理和途径思维.
主要方法:
- 通过比例抽样招募的202名血液透析患者进行了一项横截面研究.
- 数据采集使用了米歇尔疾病不确定性尺度-社区形式和斯奈德希望尺度.
- 统计分析包括描述性统计,皮尔森相关性,独立的t测试和差异分析.
主要成果:
- 疾病不确定性,代理思维和思维途径的平均分数分别为61.91±10.54,10.30±2.74和12.04±2.66.
- 在疾病的不确定性和代理思维 (r=-0.20,p=0.004) 和途径思维 (r=-0.21,p=0.002) 之间观察到显著的负相关性.
- 更高的教育,收入,年轻的年龄和等待脏移植与更低的不确定性和更大的机构和思维途径有关.
结论:
- 疾病的不确定性与血液透析患者的机构和思维途径有负面联系.
- 建议针对这一群体采取旨在减少不确定性和增强希望的干预措施.
- 在制定支持性护理策略时,应考虑教育,收入,年龄和移植状况等因素.
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