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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2. 刘静, 陈晓泓, 邹建洲. 维持性血液透析患者心理、认知功能状态及其影响因素研究. 中国血液净化, 2020, 19(10): 688-691.
3. 王永业, 吴克钗, 叶海君, 等. 维持性血液透析患者焦虑抑郁状态的变化特点及临床意义. 中国社区医师, 2020, 36(23): 56-57.
4. 李秀婷. 维持性血液透析患者积极心理品质与焦虑、抑郁情绪及生活质量关系的研究. 济南: 山东大学, 2019.
5. 李雪, 郝崴, 李曾艳, 等. 维持性血液透析患者自我感受负担与自尊、家庭关怀度的相关性研究. 中国全科医学, 2017, 20(S3): 474-476.
6. 王龙. 癌症患者尊严受损特征调查、影响因素分析及尊严疗法文化调适研究. 石家庄: 河北医科大学, 2019.
7. 吴玲那. 血液透析患者焦虑、抑郁和自我管理的相关性研究. 延安: 延安大学, 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. 葛国靖, 曹艳梅, 刘捷, 等. 中文版患者尊严量表初步修订及信、效度评价. 中国公共卫生, 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. 张伟, 王维利, 洪静芳, 等. 医院焦虑抑郁量表在住院癌症患者焦虑抑郁筛查中临界值的研究. 护理学报, 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. 王强. 血液透析患者的心理状态及其相关因素分析. 新乡: 新乡医学院, 2015.
17. 谌南岚, 毕慧欣, 黄谷香, 等. 维持性血液透析患者焦虑和抑郁状态的调查. 广东医学, 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. 宋立业, 宋琪, 刘霞. 青岛市某医院肺癌患者尊严感现状及影响因素. 医学与社会, 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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