【作者】 杨薇；

【导师】 尹安春；

【作者基本信息】 大连医科大学 ， 护理学， 2014， 硕士

【摘要】 目的：了解腹膜透析患者生活质量,社会支持状况及应对方式,探讨腹膜透析患者生活质量与社会支持和应对方式的相关关系。方法：采用横断面调查研究。采用随机抽样的方法于2013年1月～2014年1月在大连市3所三级甲等医院对191例腹膜透析患者进行问卷调查。研究工具包括一般资料问卷、透析相关生活质量量表、社会支持评定量表、应对方式量表。用SPSS13.0软件包建立数据库。统计方法包括描述性统计分析、两均数比较的t检验、多个均数比较的方差分析、多元线性逐步回归分析、Spearman秩相关。结果：1、本次调查腹膜透析患者SF平均分为41.08(31.38-51.43),KDTA平均分为52.42±12.08。不同性别、年龄、婚姻、职业、学历、住院方式、原发疾病、工作状态、透析时间、家庭月收入的腹膜透析患者的生活质量得分比较有差别。女性、年轻、单身、农民、中学学历、单纯肾病、工作状态、家庭月收入高的患者生活质量得分高于男性、老年、已婚、白领、小学学历、有合并症、无业、家庭月收入低的患者。多元线性逐步回归分析提示年龄、性别、家庭月收入是腹膜透析患者生活质量的影响因素。2、腹膜透析患者社会支持总分平均为43.00(39.00-47.00)。不同性别、职业、付费方式、透析时间、家庭月收入患者的社会支持得分比较有差别。女性、白领、省医保、透析时间<12月和>24月、家庭月收入高的患者社会支持得分高于男性、无业、自费、透析时间12～24月、家庭月收入低的患者。3、腹膜透析患者生活质量与社会支持的相关分析显示SF总分与社会支持总分相关系数为0.305,KDTA总分与社会支持总分相关系数为0.349,生活质量各维度与社会支持大部分维度呈正相关。4、腹膜透析患者应对方式中的“面对”维度得分为(18.28±3.86)分,低于常模,“回避”与“屈服”维度得分分别为(15.74±2.61)分与(11.10±4.77)分,高于常模。相关性分析表明：生存质量与应对方式中的“面对”维度呈正相关,而与“屈服”维度呈负相关。结论：1、腹膜透析患者生活质量的影响因素有性别、年龄、家庭月收入。2、腹膜透析患者的生活质量与社会支持呈正相关。3、生存质量与应对方式中的“面对”维度呈正相关,而与“屈服”维度呈负相关。更多还原

【Abstract】 Objective:This study was conducted to describe the level of quality of life and social support in Peritoneal dialysis Patients and to analyze the relationship between quality of life and social support in Peritoneal dialysis Patients.Methods:A cross-sectional design was used in this study. From January2013to January2014,191Peritoneal dialysis Patients who accepted Peritoneal dialysis therapy more than3months have been investigated by completed random method in three three-grade hospitals in Dalian.Instruments used for data collection consisted of3Parts:demographic information, KDQOL_SFTM scale and the Social support Rating Seale (SSRS). Descriptive analysis, t-test, ANOVA, multiple linear regression analysis and Spearman correlation were performed by using SPSS13.0.Results:1. The average scores of SF and KDAT were41.08and52.42respectively in Peritoneal dialysis Patients of this study. There was difference on different dimension or total score of quality of life about gender, age, marital status, Profession, educational level, health insurance way, Primary disease, work status, dialysis time and family income.The Patients who were female, young, single, rich and Peasants enjoyed good quality of life. The same were the Patients with secondary education and in working condition. Multiple linear regression analysis showed gender, age and family income were influencing factors of life quality in Peritoneal dialysis Patients. 2. The average scores of social Support was43.00in Peritoneal dialysis Patients of this study.There was difference on different dimension or total score of social support about gender, Profession, health insurance way and family income. The Patients who were female, white-collar and rich had good social support. The same were the Patients with Provincial health insurance and dialysis time lower than12months or more than24months.3. Spearman correlation analysis showed the correlation coeffient of SF and social support was0.305, the related coeffient of KDTA and social support was0.349. There was Positive correlation between most of scales of quality of life and social support.Conclusion:1. Some factors, such as gender, age, and family income were the risk factors for quality of life in peritoneal dialysis patients.2. The level of quality of life was positively correlated with social.3. The peritoneal dialysis patients are inclined to "resignation" coping style when facing the disease. Peritoneal dialysis patients have a lower level of QOL compared with normal population. The more "confrontation" coping style and the less "resignation" coping style PD patients use and the better QOL they enjoy.更多还原