精神健康、复原力和心理健康对血液透析患者坚持治疗的预测作用。

IF 2.2 4区 医学 Q2 UROLOGY & NEPHROLOGY
Fahimeh Saedi, Mahlagha Dehghan, Najmeh Mohammadrafie, Xiao Xu, Alaa Hamza Hermis, Mohammad Ali Zakeri
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引用次数: 0

摘要

背景:终末期肾病(ESRD)会给患者带来许多生理和心理问题,因此他们必须坚持治疗,以恢复健康、缓解这些问题并延长寿命。本研究旨在确定精神健康、复原力和心理健康对血液透析患者坚持治疗的预测作用:这项相关横断面研究调查了伊朗东南部克尔曼市两家透析中心转诊的 184 名血液透析患者中与坚持治疗相关的一些变量。研究采用普查法选取参与者,并使用社会人口学特征问卷、坚持治疗问卷(ATQ)、康纳-戴维森复原力量表、里弗心理健康问卷和精神健康量表(SWBS)收集数据:我们发现精神健康、复原力、心理健康和治疗依从性之间存在显著的正相关(P 结论:精神健康、复原力、心理健康和治疗依从性之间存在显著的正相关:精神健康、心理健康和复原力是影响血液透析患者坚持治疗的因素,其中心理健康对改善患者坚持治疗的贡献最大。有效改善心理健康、精神健康和适应力的干预措施可提高血液透析患者的治疗依从性。医护人员必须更加关注影响血液透析患者坚持治疗的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients.

Background: End-stage renal disease (ESRD) causes numerous physical and psychological problems in patients, so that they must adhere to their treatment regimen to recover their disease, alleviate these problems, and increase their lifespan. The present study aimed to determine the predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients.

Methods: This correlational cross-sectional study investigated some variables related to treatment adherence in 184 patients undergoing hemodialysis referred to two dialysis centers in Kerman, southeastern Iran. A census method was used to select the participants and data were collected using socio-demographic characteristics questionnaire, Adherence to Treatment Questionnaire (ATQ), Conner-Davidson Resilience Scale, Reef Psychological well-being Questionnaire, and Spiritual Well-Being Scale (SWBS).

Results: The overall treatment adherence score was 155.42 ± 27.98 and we found a positive significant correlation between spiritual health, resilience, psychological well-being, and treatment adherence (p < 0.001). The mean scores of resilience, spiritual health and psychological well-being were 70.59 ± 17.02, 90.09 ± 12.01, and 77.88 ± 11.72, respectively. Spiritual health, psychological well-being, resilience, gender and marital status predicted 54% of the variance of treatment adherence, with psychological well-being being the best predictor (p < 0.001).

Conclusions: Spiritual health, psychological well-being, and resilience are factors that influence treatment adherence of the patients undergoing hemodialysis, with psychological well-being having the greatest contribution to improving patient's treatment adherence. Interventions effective in improving psychological well-being, spiritual health and resilience can improve treatment adherence of patients undergoing hemodialysis. Healthcare workers must pay more attention to the factors affecting treatment adherence of patients undergoing hemodialysis.

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来源期刊
BMC Nephrology
BMC Nephrology UROLOGY & NEPHROLOGY-
CiteScore
4.30
自引率
0.00%
发文量
375
审稿时长
3-8 weeks
期刊介绍: BMC Nephrology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of kidney and associated disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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