Analysis on the status and influencing factors of maintenance hemodialysis patients’ sense of dignity_West China Medical Journal

Authors：

YAN Xueping , ZHANG Yingjun , ZHANG Jiao , CHEN Hui ,  CHEN Lin

Hemodialysis Center, Department of Nephrology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

CHEN Lin, Email: hxxuetou@163.com

Keywords：

Maintenance hemodialysis patients; Sense of dignity; Influence factors

DOI：

10.7507/1002-0179.202105316

Video：

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Objective To discuss and analyze the sense of dignity and its influencing factors of maintenance hemodialysis (MHD) patients.Methods Patients with MHD in hemodialysis center of West China Hospital of Sichuan University were selected from November 2019 to January 2020. Patients were selected by convenience sampling. The patients were investigated with Patient Dignity Inventory (PDI), Connor-Davidson Resilience Scale (CD-RISC) and Hospital Anxiety and Depression Scale.Results A total of 150 patients were included. The average scores of CD-RISC, anxiety, depression and PDI were 61.20±14.54, 4.97±1.38, 5.90±2.42 and 41.32±16.24, respectively. Among them, 121 cases (80.67%) had mild dignity impairment, 22 cases (14.67%) had moderate dignity impairment, 6 cases (4.00%) had severe dignity impairment, and 1 case (0.67%) had very serious dignity impairment. The results of multiple linear stepwise regression showed that depression, economic burden, social support, and vascular access were all positive predictors of esteem scores (P<0.001).Conclusions Clinical nurses can aim at the main factors affecting the sense of dignity of MHD patients. And individualized nursing plan and intervention measures can be formulated to improve the sense of dignity of patients and improve the quality of life of maintenance hemodialysis patients.

Citation： YAN Xueping, ZHANG Yingjun, ZHANG Jiao, CHEN Hui, CHEN Lin. Analysis on the status and influencing factors of maintenance hemodialysis patients’ sense of dignity. West China Medical Journal, 2021, 36(7): 866-871. doi: 10.7507/1002-0179.202105316 Copy

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1. Watson M, Kissane DW. Handbook of psychotherapy in cancer care. John Wiley & Sons, Ltd, 2011: 247-257.
2. 劉靜, 陳曉泓, 鄒建洲. 維持性血液透析患者心理、認知功能狀態及其影響因素研究. 中國血液凈化, 2020, 19(10): 688-691.
3. 王永業, 吳克釵, 葉海君, 等. 維持性血液透析患者焦慮抑郁狀態的變化特點及臨床意義. 中國社區醫師, 2020, 36(23): 56-57.
4. 李秀婷. 維持性血液透析患者積極心理品質與焦慮、抑郁情緒及生活質量關系的研究. 濟南: 山東大學, 2019.
5. 李雪, 郝崴, 李曾艷, 等. 維持性血液透析患者自我感受負擔與自尊、家庭關懷度的相關性研究. 中國全科醫學, 2017, 20(S3): 474-476.
6. 王龍. 癌癥患者尊嚴受損特征調查、影響因素分析及尊嚴療法文化調適研究. 石家莊: 河北醫科大學, 2019.
7. 吳玲那. 血液透析患者焦慮、抑郁和自我管理的相關性研究. 延安: 延安大學, 2019.
8. Chochinov HM, Hassard T, McClement S, et al. The patient dignity inventory: a novel way of measuring dignity-related distress in palliative care. J Pain Symptom Manag, 2008, 36(6): 559-571.
9. 葛國靖, 曹艷梅, 劉捷, 等. 中文版患者尊嚴量表初步修訂及信、效度評價. 中國公共衛生, 2016, 32(8): 1088-1091.
10. Connor KM, Davidson JR. Development of a new resilience scale: the connor-davidson resilience scale (CD-RISC). Depress Anxiety, 2003, 18(2): 76-82.
11. Yu Xn, Zhang Jx. Factor analysis and psychometric evaluation of the connor-davidson resilience scale (CD-RISC) with Chinese people. Soc Behav Pers, 2007, 35(1): 19-30.
12. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand, 1983, 67(6): 361-370.
13. 張偉, 王維利, 洪靜芳, 等. 醫院焦慮抑郁量表在住院癌癥患者焦慮抑郁篩查中臨界值的研究. 護理學報, 2012, 19(19): 1-4.
14. Poorgholami F, Javadpour S, Saadatmand V, et al. Effectiveness of self-care education on the enhancement of the self-esteem of patients undergoing hemodialysis. Glob J Health Sci, 2015, 8(2): 132-136.
15. Darvishi A, Otaghi M, Mami S. The effectiveness of spiritual therapy on spiritual well-being, self-esteem and self-efficacy in patients on hemodialysis. J Relig Health, 2020, 59(1): 277-288.
16. 王強. 血液透析患者的心理狀態及其相關因素分析. 新鄉: 新鄉醫學院, 2015.
17. 諶南嵐, 畢慧欣, 黃谷香, 等. 維持性血液透析患者焦慮和抑郁狀態的調查. 廣東醫學, 2010, 31(22): 2939-2940.
18. da Matta SM, Janaina Matos M, Kummer AM, et al. Cognitive alterations in chronic kidney disease: an update. J Bras Nefrol, 2014, 36(2): 241-245.
19. 宋立業, 宋琪, 劉霞. 青島市某醫院肺癌患者尊嚴感現狀及影響因素. 醫學與社會, 2018, 31(9): 69-71.
20. Henry M, Habib LA, Morrison M, et al. Head and neck cancer patients want us to support them psychologically in the posttreatment period: survey results. Palliat Support Care, 2014, 12(6): 481-493.

West China Medical Journal

Analysis on the status and influencing factors of maintenance hemodialysis patients’ sense of dignity

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