血液透析患者心理健康与精神健康的关系：一项相关性研究。
Relationship between mental health and spiritual wellbeing among hemodialysis patients: a correlation study.
作者信息
Martínez Beatriz Bertolaccini, Custódio Rodrigo Pereira
机构信息
Department of Medicine, Universidade do Vale do Sapucaí, Pouso AlegreMinas Gerais, Brazil.
Universidade do Vale do Sapucaí, Pouso AlegreMinas Gerais, Brazil, Nursing Student. Universidade do Vale do Sapucaí (Univás), Pouso Alegre, Minas Gerais, Brazil.
出版信息
Sao Paulo Med J. 2014;132(1):23-7. doi: 10.1590/1516-3180.2014.1321606.
CONTEXT AND OBJECTIVE
The stress of living with a terminal disease has a negative impact on the mental health of hemodialysis (HD) patients. Spirituality is a potential coping mechanism for stressful experiences. Studies on the relationship between spirituality and mental health among HD patients are scarce. The purpose of this study was to evaluate the relationship between mental health and spiritual well-being among HD patients.
DESIGN AND SETTING
Cross-sectional observational study on hemodialysis patients at a single center in Brazil, between January and December 2011.
METHODS
Mental health was assessed using the General Health Questionnaire and spiritual wellbeing was assessed using the Spiritual Wellbeing Scale; 150 HD patients participated in the study.
RESULTS
A significant correlation was found between mental health and spiritual wellbeing (P = 0.001). Spiritual wellbeing was the strongest predictor of mental health, psychological distress, sleep disturbance and psychosomatic complaints.
CONCLUSION
Poor mental health was associated with lower spiritual wellbeing. This has important implications for delivery of palliative care to HD patients.
背景与目的
罹患绝症所带来的压力会对血液透析（HD）患者的心理健康产生负面影响。精神信仰是应对压力经历的一种潜在机制。关于HD患者精神信仰与心理健康之间关系的研究较为匮乏。本研究的目的是评估HD患者心理健康与精神幸福感之间的关系。
设计与背景
2011年1月至12月在巴西一个单一中心对血液透析患者进行的横断面观察性研究。
方法
使用一般健康问卷评估心理健康，使用精神幸福感量表评估精神幸福感；150名HD患者参与了本研究。
结果
发现心理健康与精神幸福感之间存在显著相关性（P = 0.001）。精神幸福感是心理健康、心理困扰、睡眠障碍和身心不适的最强预测因素。
结论
心理健康状况不佳与精神幸福感较低有关。这对为HD患者提供姑息治疗具有重要意义。
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