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与慢性肾脏病共存:疾病认知、症状、应对方式及生活质量

Living with Chronic Kidney Disease: Illness Perceptions, Symptoms, Coping, and Quality of Life.

作者信息

Kalfoss Mary, Schick-Makaroff Kara, Molzahn Anita E

机构信息

Professor, Faculty of Health and Social Sciences, VID Specialized University, Oslo, Norway.

Assistant Professor, Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.

出版信息

Nephrol Nurs J. 2019 May-Jun;46(3):277-290.

Abstract

The purpose of this study was to explore how illness perceptions, specifically intrusiveness, impact individuals with chronic kidney disease living with dialysis therapy and kidney transplants, and to determine the relationships among illness perceptions, symptoms, coping, and quality of life (QoL). Forty-two individuals on dialysis and with renal transplants completed an online survey. We found strong relationships between illness intrusiveness, symptom scores, and QoL. Illness intrusiveness was highly disruptive to one's financial situation, health, and work. Intrusiveness was also significantly related to individual symptoms, especially tiredness, feelings of well-being, and sleep. Correlations between intrusiveness and QoL were significant. Emotion-focused coping strategies were also significantly associated with intrusiveness. Health professionals can target illness perceptions, symptom burden, and coping strategies to enhance QoL.

摘要

本研究的目的是探讨疾病认知,特别是侵扰性,如何影响接受透析治疗和肾移植的慢性肾病患者,并确定疾病认知、症状、应对方式和生活质量(QoL)之间的关系。42名接受透析和肾移植的患者完成了一项在线调查。我们发现疾病侵扰性、症状评分和生活质量之间存在密切关系。疾病侵扰性对个人的财务状况、健康和工作造成了极大的干扰。侵扰性也与个体症状显著相关,尤其是疲劳、幸福感和睡眠。侵扰性与生活质量之间的相关性显著。以情绪为中心的应对策略也与侵扰性显著相关。医疗专业人员可以针对疾病认知、症状负担和应对策略来提高生活质量。

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