人际关系与宽恕对血液透析患者创伤后成长的影响：一项横断面研究。
Effects of interpersonal relationships and forgiveness on post-traumatic growth in hemodialysis patients: a cross-sectional study.
作者信息
Ye Yansheng, Xie Qin, Sun Yane, Xu Jianqing, Cheng Linan, Kong Linglin
机构信息
The Sixth Affiliated Hospital of Kunming Medical University, The People's Hospital of Yuxi City, Yunnan, Yuxi, 653100, China.
School of Nursing, Chengdu University, Chengdu, Sichuan, 610106, China.
出版信息
BMC Nephrol. 2025 Apr 26;26(1):212. doi: 10.1186/s12882-025-04141-z.
BACKGROUND
Post-traumatic growth is regarded as a screening indicator for quality of life of hemodialysis patients. Interpersonal relationships and forgiveness of hemodialysis patients may play an important role in improving post-traumatic growth. Few studies reveal the relationship between interpersonal relationships, forgiveness, and post-traumatic growth. This study aimed to explore the relationships among interpersonal relationships, forgiveness, and post-traumatic growth in a sample of hemodialysis patients and analyzed the influencing factors associated with post-traumatic growth in hemodialysis patients.
METHODS
In a cross-sectional study involving convenience sample from August to October 2022, 369 hemodialysis patients from nine hospitals completed the Interpersonal Relationship Comprehensive Diagnosis Scale, Heartland Forgiveness Scale, Post-traumatic Growth Inventory, and demographic characteristics and clinical information. Data were analyzed using SPSS and multiple linear regression analysis was used to identify the variables associated with the scores of post-traumatic growth.
RESULTS
Interpersonal relationships showed a significant negative correlation with forgiveness (r = -0.251, p< 0.01) and a negative correlation with post-traumatic growth (r = -0.112, p = 0.02). A significant positive correlation was found between forgiveness and post-traumatic growth (r = 0.169, p< 0.01). In the regression analysis model, gender (β = 0.195, p< 0.01), marital status (β = 0.156, p< 0.01), number of complications (β =-0.194, p< 0.01), interpersonal relationships (β =-0.098, p= 0.03), and forgiveness (β = 0.127, p= 0.01) impacted post-traumatic growth significantly.
CONCLUSIONS
There were significant correlations among interpersonal relationships, forgiveness, and post-traumatic growth. Post-traumatic growth in hemodialysis patients was related to gender, marital status, number of complications, interpersonal relationships, and forgiveness. Number of complications, interpersonal relationships, and forgiveness should be monitored and positively managed to improve effects on post-traumatic growth in hemodialysis patients. Nurses should consider implementing interventions with an keynote on controlling complications, ameliorating interpersonal relationships, and increasing forgiveness to help hemodialysis patients improve their post-traumatic growth.
CLINICAL TRIAL NUMBER
Not applicable.
背景
创伤后成长被视为血液透析患者生活质量的一个筛查指标。人际关系和血液透析患者的宽恕在改善创伤后成长方面可能发挥重要作用。很少有研究揭示人际关系、宽恕与创伤后成长之间的关系。本研究旨在探讨血液透析患者样本中人际关系、宽恕与创伤后成长之间的关系，并分析与血液透析患者创伤后成长相关的影响因素。
方法
在一项横断面研究中，于2022年8月至10月选取便利样本，来自九家医院的369名血液透析患者完成了人际关系综合诊断量表、心田宽恕量表、创伤后成长量表以及人口统计学特征和临床信息。使用SPSS对数据进行分析，并采用多元线性回归分析来确定与创伤后成长得分相关的变量。
结果
人际关系与宽恕呈显著负相关（r = -0.251，p < 0.01），与创伤后成长呈负相关（r = -0.112，p = 0.02）。宽恕与创伤后成长之间存在显著正相关（r = 0.169，p < 0.01）。在回归分析模型中，性别（β = 0.195，p < 0.01）、婚姻状况（β = 0.156，p < 0.01）、并发症数量（β = -0.194，p < 0.01）、人际关系（β = -0.098，p = 0.03）和宽恕（β = 0.127，p = 0.01）对创伤后成长有显著影响。
结论
人际关系、宽恕与创伤后成长之间存在显著相关性。血液透析患者的创伤后成长与性别、婚姻状况、并发症数量、人际关系和宽恕有关。应监测并发症数量、人际关系和宽恕情况并进行积极管理，以改善对血液透析患者创伤后成长的影响。护士应考虑实施以控制并发症、改善人际关系和增加宽恕为重点的干预措施，以帮助血液透析患者改善其创伤后成长。
临床试验编号
不适用。
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