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土耳其持续性非卧床腹膜透析患者及其照顾者的孤独感、抑郁情绪和社会支持经历。

The experiences of loneliness, depression, and social support of Turkish patients with continuous ambulatory peritoneal dialysis and their caregivers.

作者信息

Asti Turkinaz, Kara Magfiret, Ipek Gulay, Erci Behice

机构信息

Fundamentals of Nursing Department, Florence Nightingale School of Nursing, Istanbul University, Istanbul, Turkey.

出版信息

J Clin Nurs. 2006 Apr;15(4):490-7. doi: 10.1111/j.1365-2702.2006.01330.x.

Abstract

AIM

The aim of the study was to examine the relationship between loneliness, depression and social support of Turkish patients with continuous ambulatory peritoneal dialysis and their caregivers.

BACKGROUND

By altering the lifestyle of the patient and family or caregiver, chronic illness and continuous ambulatory peritoneal dialysis can create loneliness and depression. Perceived social support may facilitate coping with illness.

DESIGN

Descriptive correlational design was used.

METHODS

Data were collected by using the UCLA loneliness scale, the Beck's depression scale and the perceived social support from family and friends scales and demographic data form.

RESULTS

A total of 130 subjects including 65 patients with continuous ambulatory peritoneal dialysis and 65 caregivers took part in this study. The mean ages of the patients and caregivers were similar (44.69 +/- 17.22 and 43.90 +/- 8.52 years respectively). Scores of loneliness and depression were below cut-off scores in both groups. However, scores of the loneliness of patients were higher than that of the caregivers. Perceived social support from family and friend were above cut-off scores in both groups and it was different for patients and caregivers.

CONCLUSION

The results of this study indicate that Turkish patients with continuous ambulatory peritoneal dialysis and their caregivers did not experience loneliness and depression.

RELEVANCE TO CLINICAL PRACTICE

Results of the study suggest that the nurses need to be aware of patients' and caregivers' psychological reactions to continuous ambulatory peritoneal dialysis, which may be expressed in feelings of loneliness and depression, and employ social support resources for patients with peritoneal dialysis and caregivers to cope with their illness and to adapt lifestyle changes.

摘要

目的

本研究旨在探讨土耳其持续性非卧床腹膜透析患者及其照顾者的孤独感、抑郁情绪与社会支持之间的关系。

背景

慢性病及持续性非卧床腹膜透析会改变患者及其家人或照顾者的生活方式,从而导致孤独感和抑郁情绪。感知到的社会支持可能有助于应对疾病。

设计

采用描述性相关性设计。

方法

使用加利福尼亚大学洛杉矶分校孤独感量表、贝克抑郁量表、来自家人和朋友的感知社会支持量表以及人口统计学数据表格收集数据。

结果

共有130名受试者参与了本研究,其中包括65名持续性非卧床腹膜透析患者和65名照顾者。患者和照顾者的平均年龄相近(分别为44.69±17.22岁和43.90±8.52岁)。两组的孤独感和抑郁得分均低于临界值。然而,患者的孤独感得分高于照顾者。两组来自家人和朋友的感知社会支持得分均高于临界值,且患者和照顾者的得分有所不同。

结论

本研究结果表明,土耳其持续性非卧床腹膜透析患者及其照顾者未经历孤独感和抑郁情绪。

与临床实践的相关性

研究结果表明,护士需要意识到患者及其照顾者对持续性非卧床腹膜透析的心理反应,这种反应可能表现为孤独感和抑郁情绪,并利用社会支持资源帮助腹膜透析患者及其照顾者应对疾病并适应生活方式的改变。

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