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目的:调查维持性血液透析患者的乐观现状,并分析其影响因素。方法:采用便利抽样方法,选取上海市某三级医院93名维持性血液透析患者为调查对象,应用一般情况调查问卷、乐观量表、艾森克人格问卷简式量表中国版和社会支持评定量表进行调查。结果:维持性血液透析患者乐观量表总分为(126.91±20.92)分。进入多元回归方程的各因素中,社会支持利用度对总分的影响最大,其次是人格的外倾性与神经质,人格外倾性、社会支持利用度会促进血液透析患者乐观,而神经质人格会抑制患者的乐观。结论:维持性血液透析患者的乐观水平有待提高,医护人员应通过各种途径提高患者社会支持利用度,促进患者的外倾性,帮助患者向有益的情绪进行转化。
Objective: To investigate the optimistic status of maintenance hemodialysis patients and analyze its influencing factors. Methods: A total of 93 patients with maintenance hemodialysis in a tertiary hospital in Shanghai were enrolled in this study. The general questionnaire, optimistic questionnaire, simplified Chinese version of the Eysenck Personality Questionnaire and social support assessment Scale to investigate. Results: The total optimistic scale of maintenance hemodialysis patients was (126.91 ± 20.92) points. Among the factors that enter the multiple regression equation, the degree of social support has the greatest impact on the total score, followed by the personality extraversion and neuroticism, personality extroversion, social support utilization will promote hemodialysis patients optimism, and neurotic personality Inhibit the patient’s optimism. Conclusion: The optimistic level of maintenance hemodialysis patients needs to be improved. Health care workers should improve the social support utilization, promote the patient’s extroversion, and help patients to convert beneficial emotions through various ways.