Martin Judy Carbage, Sachse Donna Smith
University of Tennessee Health Science Center, College of Nursing, Memphis, TN, USA.
Nephrol Nurs J. 2002 Dec;29(6):577-81.
End stage renal disease (ESRD) is a potentially terminal condition that causes patients to consider their mortality. Post research has shown that prayer and religious coping are associated with better posttransplant adjustment and that individuals with life-threatening illnesses have higher levels of spirituality than healthy individuals. Few studies, however, have examined the spirituality characteristics of kidney transplant recipients. This study examined the spiritual perspectives and spiritual well-being of 28 women who had a functioning allograft 18-24 months after receiving a first kidney transplant. Measurement by the Spiritual Perspective Scale (SPS) and Spiritual Well-Being (SWB) Scale scores indicated high levels of spirituality and moderate correlation between spiritual perspective and spiritual well-being. Although older participants had higher levels of spiritual perspective, there were no associations between age and spiritual well-being, nor difference in spiritual perspective and well-being by race, education, or employment status. Thus, particularly for the aging, spirituality may be a valuable psychological resource that should be supported in women posttransplant.
终末期肾病（ESRD）是一种可能危及生命的疾病，会使患者思考自己的生死问题。研究表明，祈祷和宗教应对方式与移植后的更好适应相关，且患有危及生命疾病的个体比健康个体具有更高的精神性水平。然而，很少有研究探讨肾移植受者的精神性特征。本研究调查了28名女性肾移植受者的精神观点和精神幸福感，这些女性在接受首次肾移植后18至24个月移植肾功能良好。通过精神观点量表（SPS）和精神幸福感（SWB）量表得分进行测量，结果显示精神性水平较高，且精神观点与精神幸福感之间存在中度相关性。尽管年龄较大的参与者精神观点水平较高，但年龄与精神幸福感之间没有关联，种族、教育程度或就业状况在精神观点和幸福感方面也没有差异。因此，特别是对于老年人来说，精神性可能是一种宝贵的心理资源，应该在移植后的女性中得到支持。
