Noghan Nesa, Akaberi Arash, Pournamdarian Sepideh, Borujerdi Elham, Hejazi Sima Sadat
M.Sc. of Critical Care Nursing, Asadabad Faculty of Medical Sciences, Hamedan University of Medical Sciences and Health Services, Hamedan, Iran.
M.Sc. of Biostatistics, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Electron Physician. 2018 May 5;10(5):6853-6858. doi: 10.19082/6853. eCollection 2018 May.
The relationship between resilience, one of the important issues in mental health, and therapeutic regimen compliance, the key in the successful management of chronic disease such as chronic kidney disease, is unclear.
The aim of this study was to determine the relationship between resilience and therapeutic regimen compliance in ESRD patients, undergoing hemodialysis.
In this cross-sectional study, 107 hemodialysis patients referred to Besat and Shahid Beheshti Hospitals of Hamedan, Iran were selected through systematic sampling method from January to April 2013. The tool was Connor-Davidson Resilience Scale (CD-RISC). The criteria for compliance were: mean of interdialytic weight gain less than 5.7% to the dry weight, serum potassium 5.5 mEq/L or less, serum phosphorus of 6 mg/dL or less and no more than 3 absences in dialysis sessions. For data analysis, statistical tests such as independent t-test and Logistic regression were performed.
Fifty-seven (53.3%) patients were males and the mean age of subjects was 49.96±17.39 years. The difference in the mean scores of resilience between compliance or non-compliance patients was statistically significant (p=0.032). Only resilience and age were significant factors related to regimen compliance. In those subjects with greater resilience for 1 score, the chance of compliance with the therapeutic regimen would be 5.4% higher (OR=1.054, CI 95%: 1.01-1.103). In addition, the elderly patients were more likely to comply with the regimen (OR=1.072, CI 95 %: 1.033, 1.113).
According to the results, the patients with greater scores of resilience were more likely to comply with the therapeutic regimen.
心理韧性是心理健康的重要问题之一，而治疗方案依从性是慢性疾病（如慢性肾脏病）成功管理的关键，二者之间的关系尚不清楚。
本研究旨在确定接受血液透析的终末期肾病（ESRD）患者心理韧性与治疗方案依从性之间的关系。
在这项横断面研究中，2013年1月至4月通过系统抽样方法选取了107例转诊至伊朗哈马丹的贝萨特医院和沙希德·贝赫什提医院的血液透析患者。使用的工具是康纳-戴维森心理韧性量表（CD-RISC）。依从性标准为：透析间期体重增加平均值低于干体重的5.7%，血清钾5.5 mEq/L或更低，血清磷6 mg/dL或更低，透析次数缺勤不超过3次。数据分析采用独立t检验和逻辑回归等统计检验。
57例（53.3%）患者为男性，受试者的平均年龄为49.96±17.39岁。依从性或非依从性患者心理韧性平均得分的差异具有统计学意义（p = 0.032）。只有心理韧性和年龄是与治疗方案依从性相关的显著因素。心理韧性每增加1分，受试者遵守治疗方案的几率就会高出5.4%（OR = 1.054，95%置信区间：1.01 - 1.103）。此外，老年患者更有可能遵守治疗方案（OR = 1.072，95%置信区间：1.033，1.113）。
根据研究结果，心理韧性得分较高的患者更有可能遵守治疗方案。
