Shahgholian Nahid, Tajdari Setareh, Nasiri Mahmoud
Department of Critical Care Nursing, Kidney Disease Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2012 Feb;17(2 Suppl 1):S85-90.
Chronic renal disease is a health problem in today's world. In the end-stages of renal disease patients depend upon alternative therapies including dialysis for their survival. However, dialysis causes several stressors on physical, mental and social performance of patients. The present study aimed to review and compare the self-concept in patients undergoing hemodialysis and peritoneal dialysis.
This was a case-control study including two groups of patients, undergoing hemodialysis and peritoneal dialysis, who referred to Al-Zahra and Ali Asghar Hospitals, which are affiliated to Isfahan University of Medical Sciences. These groups were compared to the control group. Data were collected through completing the form of demographic characteristics and a questionnaire, written by the researcher, pertaining to the self-concept which was collected by the samples. The data were analyzed by the Software SPSS version 18.
ANOVA (analysis of variance) showed that statistically there was a significant difference between mean score of self-concept in the three physical (body-image), psychological, and social self aspects in the two groups of hemodialysis and peritoneal dialysis with the control group; however, Duncan's post-hoc analysis showed no significant difference between mean score of self-concept in the three mentioned aspects in the two groups of hemodialysis and peritoneal dialysis. Furthermore, ANOVA (analysis of variance) showed that there was no significant difference between mean score of the spiritual aspect of the self-concept in the two groups of hemodialysis and peritoneal dialysis with the control group. Duncan's post-hoc analysis also showed no significant difference in this aspect between the two groups of hemodialysis and peritoneal dialysis.
Patients undergoing dialysis have many psychological disorders and the type of dialysis is not of much importance in this regard; therefore, adequate education and information for clients in order to use appropriate methods of adaptation as well as appropriate social relationship, continuing social support and developing health policies seem necessary in order to prevent mental disorders and providing required services and supports for patients.
慢性肾病是当今世界的一个健康问题。在肾病终末期，患者依靠包括透析在内的替代疗法维持生命。然而，透析给患者的身体、心理和社会行为带来了多种压力源。本研究旨在回顾和比较接受血液透析和腹膜透析患者的自我概念。
这是一项病例对照研究，包括两组转诊至隶属于伊斯法罕医科大学的扎赫拉医院和阿里·阿斯加尔医院的患者，分别接受血液透析和腹膜透析。将这两组与对照组进行比较。通过填写人口统计学特征表格以及由研究者编写的、与样本收集的自我概念相关的问卷来收集数据。数据采用SPSS 18.0软件进行分析。
方差分析表明，在身体（身体意象）、心理和社会自我这三个方面，血液透析组和腹膜透析组患者的自我概念平均得分与对照组之间在统计学上存在显著差异；然而，邓肯事后检验分析表明，血液透析组和腹膜透析组在上述三个方面的自我概念平均得分之间没有显著差异。此外，方差分析表明，血液透析组和腹膜透析组患者自我概念的精神层面平均得分与对照组之间没有显著差异。邓肯事后检验分析也表明，血液透析组和腹膜透析组在这方面没有显著差异。
接受透析的患者存在许多心理障碍，在这方面透析类型并不十分重要；因此，为患者提供充分的教育和信息，以便他们采用适当的适应方法以及建立适当的社会关系、持续获得社会支持并制定健康政策，对于预防精神障碍以及为患者提供所需服务和支持似乎是必要的。
