Relationship Between Illness Adaptation and Type D Personality in Hemodialysis Patients.

Berna Akay, Canan Bozkurt, Nurdan Sahin
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Abstract

Introduction: Although the impact of Type D personality on individuals with various chronic health conditions has been widely studied, its role in hemodialysis patients remains unclear. This study aimed to explore the relationship between illness adaptation and Type D personality in hemodialysis patients and to examine the sociodemographic and clinical characteristics that influence illness adaptation.

Methods: This cross-sectional study was conducted in hemodialysis units in western Turkey from November 2021 to November 2022. Data were collected using a Personal Information Form, the Adaptation to Chronic Illness Scale, and the Type D Personality Scale. Descriptive statistics, t-tests, ANOVA, Pearson's correlation, and multivariate linear regression analysis were applied to analyze the data.

Results: A total of 138 hemodialysis patients participated in the study. The mean score for adaptation to chronic illness was 80.6 ± 13.6. Among these patients, 38.4% had Type D personality. A negative correlation was found between illness adaptation and Type D personality (r = -0.683, p < 0.001). Regression analysis revealed that Type D personality (β = -0.255), gender (β = -0.087), age (β = 0.137), education level (β = 0.152), economic status (β = 0.177), and hemodialysis duration (β = 0.307) were significant predictors of illness adaptation.

Conclusion: Healthcare providers should offer individualized psychosocial care and counseling services to enhance illness adaptation in hemodialysis patients. In particular, strategies to improve adaptation should be tailored for patients with Type D personality traits.

血液透析患者疾病适应与D型人格的关系
虽然D型人格对各种慢性健康状况个体的影响已被广泛研究,但其在血液透析患者中的作用尚不清楚。本研究旨在探讨血液透析患者疾病适应与D型人格的关系,并探讨影响疾病适应的社会人口学和临床特征。方法:这项横断面研究于2021年11月至2022年11月在土耳其西部的血液透析单位进行。数据采用个人信息表、慢性疾病适应量表和D型人格量表收集。采用描述性统计、t检验、方差分析、Pearson相关及多元线性回归分析对数据进行分析。结果:共138例血液透析患者参与研究。慢性疾病适应的平均得分为80.6±13.6。其中38.4%为D型人格。疾病适应与D型人格呈负相关(r = -0.683, p)。结论:医疗服务提供者应提供个性化的心理社会护理和咨询服务,以提高血液透析患者的疾病适应。特别是,提高适应能力的策略应该针对D型人格特征的患者量身定制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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