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“对身体失去信心”:在绘画和叙述中反映出的终末期肾病患者的身体意象。

"Losing Faith in My Body": Body Image in Individuals Diagnosed with End-Stage Renal Disease as Reflected in Drawings and Narratives.

机构信息

Social Work Department, Tel Hai College, Qiryat Shemona 1220800, Israel.

The Sagol Center for Hyperbaric Medical Treatment and Research, Shamir Medical Center, Be'er Ya'akov 7035000, Israel.

出版信息

Int J Environ Res Public Health. 2022 Aug 30;19(17):10777. doi: 10.3390/ijerph191710777.

Abstract

Chronic kidney disease (CKD) and the dependency on dialysis is an abrupt life-changing event that harms a patient's life (e.g., social relationships, work, and well-being). This study aimed to examine how individuals who undergo chronic dialysis due to failure end-stage renal disease perceive their bodies, as reflected in drawings and narratives. Following ethical approval and signing a consent form to participate in the study, 29 adults between the ages of 20 and 85 who have undergone dialysis filled out an anonymous questionnaire that consisted of the following measures: The Center for Epidemiological Studies-Depression (CES-D), The Multidimensional Body-Self Relations Questionnaire (MBSRQ), and The MOS 36-Item Short-Form Health Survey (SF-36). After completion, they were asked to draw their self-figure before and after being diagnosed and narrate it. The data were quantitatively and narratively analyzed. The results revealed high levels of depression and concerns regarding body fitness and weight. Few significant differences were noted between self-figured drawings before and after the diagnosis, such as the body line and gender markers. Additionally, Fitness Evaluation and Overweight Preoccupation were significant among the participants.

摘要

慢性肾脏病(CKD)和对透析的依赖是一个突然改变生活的事件,会损害患者的生活(例如,社交关系、工作和幸福感)。本研究旨在通过绘画和叙述来检查因终末期肾病而接受慢性透析的个体如何看待自己的身体。在获得伦理批准并签署参与研究的同意书后,29 名年龄在 20 至 85 岁之间的成年人填写了一份匿名问卷,其中包括以下措施:流行病学研究中心抑郁量表(CES-D)、多维身体自我关系问卷(MBSRQ)和 MOS 36 项简短健康调查问卷(SF-36)。完成后,他们被要求在被诊断前后画出自己的自画像并进行叙述。对数据进行了定量和叙述性分析。结果显示,抑郁程度较高,对身体适应性和体重的担忧。在诊断前后的自画像之间几乎没有发现显著差异,例如身体线条和性别标记。此外,参与者中还存在健身评估和超重困扰。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d35/9517917/48e57a7bbdf1/ijerph-19-10777-g001.jpg

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