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终末期肾病患者精神健康状况的临床、社会及人口统计学相关因素

Clinical, Social and Demographics Factors Associated with Spiritual Wellbeing in End Stage Renal Disease.

作者信息

Fradelos Evangelos C, Tsaras Konstantinos, Tzavella Foteini, Koukia Evmorfia, Papathanasiou Ioanna V, Alikari Victoria, Stathoulis John, Tsaloglidou Areti, Kourakos Michael, Zyga Sofia

机构信息

Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece.

Department of Nursing, Technological Educational Institute of Thessaly, Larissa, Greece.

出版信息

Adv Exp Med Biol. 2017;987:77-88. doi: 10.1007/978-3-319-57379-3_8.

Abstract

UNLABELLED

Spiritual health is one of the important aspects of health status that is often neglected.

AIM

the present study aims to evaluate spiritual wellbeing in end stage renal disease patients undergoing hemodialysis and its relation to sociodemographic and clinical variables.

METHODS

A convenience sample of 183 individuals undergoing hemodialysis was recruited. Measurements were conducted with the following instruments: (a) a sheet containing demographic data and clinical information such as duration of dialysis e.t.c (b) Facit Spiritual Wellbeing Scale (Facit-Sp12). Statistical analysis was contacted with SPSS v.22. Descriptive statistics were initially generated for sample characteristics. Parametric and no-parametric statistics were used for searching the relations between the variables. P values <0.05 were defined as reflecting the acceptable level of statistical significance.

RESULTS

From the total of the 183 participants of the study the 69.9% were male and 30.1% female. The age range was from 26 to 88 years old, with mean 61.39 ± 14.11. The subscale "peace" is associated to gender (t = 2.150, p = 0.033), educational level (F = 2.698, p = 0.047) and duration of dialysis (F = 2.969, p = 0.033) and religious beliefs (t = -2.059, p = 0.041). The subscale "faith" is associated to gender (t = -3.428, p = 0.001), age (p = 0.006), number of children (F = 4.347, p = 0.014). Moreover, the subscale "meaning" is associated to age (p = 0.001). Finally its worth to be mentioned that comorbidity is associated to subscales "meaning" (t = -2.071, p = 0.040), "peace" (t = -2.377, p = 0.018) and the overall spiritual wellbeing (t = -1.988, p = 0.048).

CONCLUSIONS

Social, demographic factors as well as clinical variables such duration of dialysis and comorbidities are affecting spiritual wellbeing in end stage renal disease.

摘要

未标注

精神健康是健康状况的重要方面之一,但常常被忽视。

目的

本研究旨在评估接受血液透析的终末期肾病患者的精神幸福感及其与社会人口统计学和临床变量的关系。

方法

招募了183名接受血液透析的便利样本。使用以下工具进行测量:(a) 一张包含人口统计学数据和临床信息(如透析时长等)的表格;(b) 简明精神健康量表(Facit-Sp12)。使用SPSS v.22进行统计分析。首先对样本特征进行描述性统计。使用参数和非参数统计来寻找变量之间的关系。P值<0.05被定义为反映可接受的统计显著性水平。

结果

在该研究的183名参与者中,69.9%为男性,30.1%为女性。年龄范围为26至88岁,平均年龄为61.39±14.11岁。“安宁”子量表与性别(t = 2.150,p = 0.033)、教育水平(F = 2.698,p = 0.047)、透析时长(F = 2.969,p = 0.033)和宗教信仰(t = -2.059,p = 0.041)相关。“信念”子量表与性别(t = -3.428,p = 0.001)、年龄(p = 0.006)、子女数量(F = 4.347,p = 0.014)相关。此外,“意义”子量表与年龄(p = 0.001)相关。最后值得一提的是,合并症与“意义”子量表(t = -2.071,p = 0.040)、“安宁”子量表(t = -2.37

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