Department of Nephrology, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, Changzhou, PR China.
Ren Fail. 2023;45(2):2264935. doi: 10.1080/0886022X.2023.2264935. Epub 2023 Oct 17.
Peritoneal dialysis (PD) requires high patient conscientiousness. Therefore, we aimed to investigate the relationship between conscientiousness score and prognosis in PD patients. The ten-item Big Five Personality Inventory's Chinese version was used to assess the conscientiousness score. Basic clinical information, prior medical history, hematological examination results, the occurrence of the first peritonitis and catheter-related infection, the start of hemodialysis, and the time of renal transplantation were collected. The patients were split into two groups, high and low conscientiousness groups, based on the mean value of the conscientiousness score. The differences in prognostic indicators were compared between groups, and the association between conscientiousness score and prognostic indicators in PD patients was assessed. Enrolled PD patients were divided into low conscientiousness group 103 and high conscientiousness group 98. There were significant differences in serum albumin ( = 0.021) and iPTH ( = 0.045) between the two groups. Multivariate Cox regression analysis identified conscientiousness score as an independent risk factor for the development of first peritonitis ( = 0.558, 0.400-0.779, = 0.001) and first catheter-related infection ( = 0.544, 0.308-0.962, = 0.036) in PD patients. Conscientiousness score ( = 2.377, 1.109-5.095, = 0.026) was independently associated with renal transplantation. Conscientiousness personality is closely related to the prognosis of PD patients.
腹膜透析(PD)需要患者高度自觉。因此,我们旨在研究尽责评分与 PD 患者预后之间的关系。采用十项大五人格量表中文版评估尽责评分。收集基本临床信息、既往病史、血液检查结果、首次腹膜炎和导管相关感染的发生、开始血液透析以及肾移植的时间。根据尽责评分的平均值将患者分为高、低尽责组。比较两组间预后指标的差异,并评估尽责评分与 PD 患者预后指标之间的关系。共纳入 PD 患者 103 例归入低尽责组和 98 例归入高尽责组。两组间血清白蛋白(=0.021)和 iPTH(=0.045)存在显著差异。多因素 Cox 回归分析确定尽责评分为 PD 患者首次发生腹膜炎(=0.558,0.400-0.779,=0.001)和首次导管相关感染(=0.544,0.308-0.962,=0.036)的独立危险因素。尽责评分(=2.377,1.109-5.095,=0.026)与肾移植独立相关。尽责人格与 PD 患者的预后密切相关。