Costa-Requena Gemma, Cantarell-Aixendri M Carmen, Parramon-Puig Gemma, Serón-Micas Daniel
Nefrologia. 2014;34(5):605-10. doi: 10.3265/Nefrologia.pre2014.Jun.11881.
Dispositional optimism is a personal resource that determines the coping style and adaptive response to chronic diseases. The aim of this study was to assess the correlations between dispositional optimism and coping strategies in patients with recent kidney transplantation and evaluate the differences in the use of coping strategies in accordance with the level of dispositional optimism.
Patients who were hospitalised in the nephrology department were selected consecutively after kidney transplantation was performed. The evaluation instruments were the Life Orientation Test-Revised, and the Coping Strategies Inventory. The data were analysed with central tendency measures, correlation analyses and means were compared using Student’s t-test.
66 patients with a kidney transplant participated in the study. The coping styles that characterised patients with a recent kidney transplantation were Social withdrawal and Problem avoidance. Correlations between dispositional optimism and coping strategies were significant in a positive direction in Problem-solving (p<.05) and Cognitive restructuring (p<.01), and inversely with Self-criticism (p<.05). Differences in dispositional optimism created significant differences in the Self-Criticism dimension (t=2.58; p<.01).
Dispositional optimism scores provide differences in coping responses after kidney transplantation. Moreover, coping strategies may influence the patient’s perception of emotional wellbeing after kidney transplantation.
性格乐观是一种个人资源，它决定了对慢性病的应对方式和适应性反应。本研究的目的是评估近期肾移植患者的性格乐观与应对策略之间的相关性，并根据性格乐观程度评估应对策略使用上的差异。
在肾移植手术后，连续选取入住肾病科的患者。评估工具为修订版生活取向测试和应对策略量表。数据采用集中趋势测量法进行分析，相关性分析采用学生t检验比较均值。
66例肾移植患者参与了本研究。近期肾移植患者的应对方式以社交退缩和问题回避为特征。性格乐观与应对策略在解决问题（p<0.05）和认知重构（p<0.01）方面呈显著正相关，与自我批评呈负相关（p<0.05）。性格乐观程度的差异在自我批评维度上产生了显著差异（t = 2.58；p<0.01）。
性格乐观得分在肾移植后的应对反应中存在差异。此外，应对策略可能会影响肾移植后患者对情绪健康的感知。
