Fissell Rachel B, Schlundt David, Cavanaugh Kerri L, Mueller Claudia, Umeukeje Ebele M, Nair Devika, Wild Marcus, Chariwala Saqib, Guide Andrew, Stewart Thomas, Wallston Kenneth
Division of Nephrology, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Psychology, Vanderbilt University, Nashville, TN, USA.
J Patient Exp. 2021 Nov 17;8:23743735211055289. doi: 10.1177/23743735211055289. eCollection 2021.
Increasing home dialysis prevalence is an international priority. Many patients start peritoneal dialysis, then transition to hemodialysis after complications. New strategies are needed to support modality persistence. Health mindset refers to individual belief about capacity to change to improve health. Mindset was measured in a cross-section of 101 adult peritoneal dialysis patients from April 2019 to June 2020. The Health Mindset Scale was administered to characterize the continuum of fixed vs. growth mindset with respect to health. Health literacy and health self-efficacy were also assessed. Participants were 43% female, 32% African American, and 42% diabetic. Health mindset scores were skewed toward growth (range 3-18), with average (SD) 12.83 (4.2). Growth mindset was strongly associated with health self-efficacy. Adults receiving peritoneal dialysis report health mindset variation. Growth mindset and health self-efficacy correlation suggests measurement of similar constructs, demonstrating convergent validity. The Health Mindset Scale may identify individuals who could benefit from targeted interventions to improve mindset, and foster peritoneal dialysis modality persistence.
提高家庭透析的普及率是一项国际优先事项。许多患者开始进行腹膜透析，然后在出现并发症后转为血液透析。需要新的策略来支持透析方式的持续使用。健康心态是指个人对通过改变来改善健康的能力的信念。在2019年4月至2020年6月期间，对101名成年腹膜透析患者进行了横断面研究，测量了他们的心态。使用健康心态量表来描述关于健康的固定心态与成长心态的连续体。还评估了健康素养和健康自我效能感。参与者中43%为女性，32%为非裔美国人，42%患有糖尿病。健康心态得分倾向于成长型（范围为3 - 18），平均（标准差）为12.83（4.2）。成长心态与健康自我效能感密切相关。接受腹膜透析的成年人报告了健康心态的差异。成长心态与健康自我效能感的相关性表明对相似结构的测量具有收敛效度。健康心态量表可能会识别出那些可以从针对性干预中受益以改善心态并促进腹膜透析方式持续使用的个体。
