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血液透析患者群体中述情障碍的系统评价

Systematic Review of Alexithymia in the Population of Hemodialysis Patients.

作者信息

Pojatić Đorđe, Tolj Ivana, Pezerović Davorin, Degmečić Dunja

机构信息

Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.

Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.

出版信息

J Clin Med. 2021 Jun 28;10(13):2862. doi: 10.3390/jcm10132862.

Abstract

Alexithymia is a construct defined as the inability to differentiate between emotional experiences and bodily sensations. According to existing knowledge, alexithymia may have a major effect on the process of treatment and the outcome of the hemodialysis disease. The objective of this literature review was to determine the significance that alexithymia has for compliance and variables of clinical and mental health in the population of hemodialysis patients. For the above purpose, bibliographic databases "MEDLINE" and "Web of Science" were searched. The matrix method was used in analysis of articles. Searching both databases resulted in 248 articles. After applying exclusion and inclusion criteria, we included results of 13 articles in the literature review. The results of the search are findings regarding the prevalence and correlation of alexithymia with variables of clinical and mental health in hemodialysis patients. Alexithymia is significantly more common in the population of hemodialysis patients, and it has a negative effect on their mental and somatic health. Alexithymia levels in hemodialysis patients are more pronounced in cases where there is a greater number of comorbidities. Alexithymia is the predictor of high mortality rate in the population of hemodialysis patients, independent of other comorbidities.

摘要

述情障碍是一种被定义为无法区分情感体验和身体感觉的概念。根据现有知识,述情障碍可能对治疗过程和血液透析疾病的结果产生重大影响。这篇文献综述的目的是确定述情障碍在血液透析患者群体中对依从性以及临床和心理健康变量的意义。为了上述目的,检索了文献数据库“MEDLINE”和“科学网”。采用矩阵法分析文章。检索这两个数据库共得到248篇文章。在应用排除和纳入标准后,我们在文献综述中纳入了13篇文章的结果。检索结果是关于述情障碍在血液透析患者中的患病率及其与临床和心理健康变量的相关性的研究发现。述情障碍在血液透析患者群体中明显更为常见,并且对他们的心理和躯体健康有负面影响。在合并症数量较多的情况下,血液透析患者的述情障碍水平更为明显。述情障碍是血液透析患者群体高死亡率的预测因素,独立于其他合并症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8b/8268782/f102da83d559/jcm-10-02862-g001.jpg

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