【摘要】：目的分析老年維持性血液透析患者的心理一致感(SOC)現(xiàn)狀及其影響因素,以制定相應(yīng)對策提高患者的SOC水平,為促進其身心健康提供理論依據(jù)。方法采用便利抽樣方法,選取2016年7—9月在南昌大學第一附屬醫(yī)院、中國人民解放軍第九四醫(yī)院血液透析中心行門診血液透析治療的老年終末期腎病(ESRD)患者132例為調(diào)查對象。采用一般資料調(diào)查表、中文版心理一致感量表(SOC-13)、社會支持量表(SSRS)、慢性病自我效能量表(SECD6)對其進行調(diào)查,共發(fā)放問卷132份,回收有效問卷120份,有效回收率為90.9%。結(jié)果老年維持性血液透析患者中文版SOC-13總分(59.0±12.6)分,可理解感維度得分(20.0±4.6)分,可控制感維度得分(23.4±5.4)分,意義感維度得分(15.6±5.7)分;SSRS總分(34.4±6.2)分,客觀支持維度得分(8.8±1.7)分,主觀支持維度得分(20.3±3.9)分,社會支持利用度維度得分(5.4±1.9)分;SECD6總分(5.6±2.0)分。不同文化程度、居住方式、居住地、個人月收入患者中文版SOC-13總分比較,差異有統(tǒng)計學意義(P0.05)。中文版SOC-13總分及其各維度得分與SSRS總分、客觀支持維度得分、主觀支持維度得分、SECD6總分均呈正相關(guān)(P0.05);中文版SOC-13總分、意義感維度得分與社會支持利用度維度得分均呈正相關(guān)(P0.05)。多元逐步回歸分析結(jié)果顯示,文化程度、居住地、SSRS總分、SECD6總分是中文版SOC-13總分的影響因素(P0.05)。結(jié)論老年維持性血液透析患者SOC水平偏低且與文化程度、居住地、社會支持、自我效能有關(guān),醫(yī)護人員應(yīng)提供具有針對性的健康宣教和心理干預(yù),同時應(yīng)注重提高患者的自我效能并發(fā)揮社會支持的重要作用,以提高患者SOC水平,促進其身心健康。
[Abstract]:Objective to analyze the present situation and influencing factors of psychological congruence (SOC) in elderly patients with maintenance hemodialysis, and to make corresponding countermeasures to improve the level of SOC in order to provide theoretical basis for promoting their physical and mental health. Methods A convenient sampling method was used to select the first affiliated Hospital of Nanchang University from July to September 2016. 132 elderly patients with end-stage nephropathy (ESRD) treated by outpatient hemodialysis in the hemodialysis center of the 94 th Hospital of the Chinese people's Liberation Army were investigated. General information questionnaire, Chinese version of psychological consensus scale (SOC-13) and social support scale (SSRS), chronic disease self-efficacy scale (SECD6) were used to investigate the questionnaire. A total of 132 questionnaires were distributed and 120 valid questionnaires were collected. The effective recovery was 90.9%. Results in elderly patients with maintenance hemodialysis, the total score of Chinese version of SOC-13 was (59.0 鹵12.6), the score of comprehensible sense dimension was (20.0 鹵4.6), the score of controllable sense dimension was (23.4 鹵5.4). The score of sense of meaning dimension was (15.6 鹵5.7); The total score of SSRS was (34.4 鹵6.2), the score of objective support dimension was (8.8 鹵1.7), the score of subjective support dimension was (20.3 鹵3.9), the score of social support utilization dimension was (5.4 鹵1.9). The total score of SECD6 was (5. 6 鹵2. 0). The total scores of Chinese version of SOC-13 in patients with different education, living style, residence and personal income were significantly different (P0.05). The total score of Chinese version of SOC-13 and its dimensions were positively correlated with the total score of SSRS, objective support dimension, subjective support dimension and total SECD6 score (P0.05). The total score of Chinese version of SOC-13, the score of sense of meaning dimension and the score of social support utilization dimension were all positively correlated (P0.05). The results of multiple stepwise regression analysis showed that education level, residence, total score of SSRS and total score of SECD6 were the influencing factors of total score of SOC-13 in Chinese version (P0.05). Conclusion the level of SOC in elderly patients with maintenance hemodialysis is low and related to their education level, residence, social support and self-efficacy. Health care workers should provide health education and psychological intervention. At the same time, we should pay attention to improve the self-efficacy of patients and play an important role in social support, in order to improve the level of SOC and promote their physical and mental health.
【作者單位】： 南昌大學護理學院;中國人民解放軍第九四醫(yī)院培訓部;
【分類號】：R473.5

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