慢性肾衰竭患者的精神健康状况：一项横断面研究。
Spiritual well-being of patients with chronic renal failure: A cross-sectional study.
机构信息
Department of nursing, Taipei Veterans General Hospital, Taipei, Taiwan.
School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
出版信息
Nurs Open. 2021 Sep;8(5):2461-2469. doi: 10.1002/nop2.1004. Epub 2021 Jul 26.
AIMS
The study aimed to investigate the relationship among physical symptom distress, sleep quality, depression and spiritual well-being of patients with chronic renal failure (CRF) and analyse the predictors of the spiritual well-being.
DESIGN
A cross-sectional study.
METHODS
A total of 188 patients were selected. The collection tools were the Physical Symptom Distress Scale, the Chinese version of PSQI, the Geriatric Depression Scale and the Spiritual Well-Being Scale. Hierarchical regression analysis was conducted using SPSS 20.0.
RESULTS
Patients with different treatments exhibited significantly different physical symptom distress. Furthermore, spiritual well-being was significantly negatively correlated with physical symptom distress, poor sleep disturbances and depression. After controlling for the variables, sleep quality and haemodialysis treatment were the key predictors of spiritual well-being.
CONCLUSION
To achieve holistic caregiving for patients' physiological, psychological and spiritual health, Nurses should evaluate patients' symptom distress and depression when providing care for these patients to enhance their spiritual well-being.
目的
本研究旨在探讨慢性肾衰竭（CRF）患者的躯体症状困扰、睡眠质量、抑郁与精神健康之间的关系，并分析精神健康的预测因素。
设计
横断面研究。
方法
选取 188 例患者，采用躯体症状困扰量表、匹兹堡睡眠质量指数量表、老年抑郁量表和中文版精神健康量表进行调查，采用 SPSS 20.0 进行分层回归分析。
结果
不同治疗方式的患者躯体症状困扰存在显著差异，精神健康与躯体症状困扰、睡眠质量差和抑郁呈显著负相关。控制变量后，睡眠质量和血液透析治疗是精神健康的关键预测因素。
结论
为实现对患者生理、心理和精神健康的整体护理，护士在为这些患者提供护理时，应评估其症状困扰和抑郁情况，以提高其精神健康水平。
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