Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain.
Research Group GREIACC, Health Research Institute La Fe, Avda. Fernando Abril Martorell, 106. Pabellón docente Torre H, Hospital La Fe, 46016 Valencia, Spain.
Int J Environ Res Public Health. 2021 Jan 11;18(2):536. doi: 10.3390/ijerph18020536.
: Patients with chronic kidney disease undergo various stages of therapeutic adaptation which involve lifestyle modifications, physical changes, and adjustment to renal replacement therapy. This process produces adaptive stress. To identify how resilience, health- related quality of life, and sociodemographic, clinical, and hemodialysis routine-related variables are related to perceived stress in patients with chronic kidney disease receiving hemodialysis for more than six months. This was a multicenter and cross-sectional study involving 144 patients from the Valencian Community (Spain). The assessment scales used for the study were the Perceived Stress Scale 10, the Kidney Disease Quality of Life 36, and the Connors-Davidson Resilience Scale. To identify variables with predictive power over Perceived Stress Scale 10 scores, multiple regression analyses were performed. Employment status ( = 0.003), resilience ( < 0.001), and quality of life ( < 0.001) were shown to be significantly related to perceived stress. The regression models determined that health-related quality of life and resilience explained up to 27.1% of the variance of total PSS10 scores. Resilience was identified as one of the most important predictors of Perceived Stress Scale 10 scores. Thus, the development of interventions to promote resilience may have a positive impact on perceived stress in patients with chronic kidney disease.
: 慢性肾脏病患者经历各种治疗适应阶段，包括生活方式改变、身体变化和对肾脏替代治疗的调整。这一过程会产生适应压力。为了确定在接受血液透析治疗超过 6 个月的慢性肾脏病患者中，韧性、健康相关生活质量以及社会人口学、临床和血液透析常规相关变量与感知压力之间的关系。这是一项涉及来自西班牙巴伦西亚社区的 144 名患者的多中心横断面研究。研究中使用的评估量表包括感知压力量表 10、肾脏病生活质量 36 和康纳斯-戴维森韧性量表。为了确定对感知压力量表 10 评分具有预测能力的变量，进行了多元回归分析。就业状况（ = 0.003）、韧性（ < 0.001）和生活质量（ < 0.001）与感知压力显著相关。回归模型确定，健康相关生活质量和韧性解释了总 PSS10 评分变异的高达 27.1%。韧性被确定为感知压力量表 10 评分的最重要预测因子之一。因此，开展促进韧性的干预措施可能会对慢性肾脏病患者的感知压力产生积极影响。
