Zhang Yingjun, Xue Guifang, Chen Yunlan, An KeRun, Chen Lin
Hemodialysis Center Department of Nephrology West China Hospital of Sichuan University Chengdu China.
Hemodialysis Center The Second People's Hospital of Liangshan Yi Autonomous Prefecture Liangshan Yi Autonomous Prefecture China.
Nurs Open. 2020 May 31;7(5):1536-1543. doi: 10.1002/nop2.535. eCollection 2020 Sep.
This study aimed to investigate the current situation of the spiritual health of maintenance haemodialysis (MHD) patients in China and analyse the influencing factors.
A total of 418 patients who underwent maintenance haemodialysis in three grade A tertiary hospitals were selected. The influencing factors were evaluated with demographic questionnaire, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-12), Family APGAR Index, Herth Hope Index (HHI) and Acceptance of Illness Scale (AIS).
Spiritual health was positively correlated with the HHI, Family APGAR and AIS scores. Nationality, HHI score, Family APGAR score and AIS score were independent influencing factors of spiritual health. MHD patients had a moderate level of spiritual health. Nationality, hope, family function and acceptance of illness were significant predictors of spiritual health. Patients who have higher hope levels, better family functioning and better illness acceptance may maintain better spiritual health.
本研究旨在调查中国维持性血液透析（MHD）患者的精神健康现状，并分析其影响因素。
选取了三家三级甲等医院中接受维持性血液透析的418例患者。采用人口学调查问卷、慢性病治疗功能评估-精神幸福感量表（FACIT-Sp-12）、家庭APGAR指数、赫思希望指数（HHI）和疾病接受度量表（AIS）对影响因素进行评估。
精神健康与HHI、家庭APGAR和AIS得分呈正相关。民族、HHI得分、家庭APGAR得分和AIS得分是精神健康的独立影响因素。MHD患者的精神健康水平中等。民族、希望、家庭功能和对疾病的接受度是精神健康的重要预测因素。希望水平较高、家庭功能较好且对疾病接受度较好的患者可能保持更好的精神健康。
