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目的探讨老年维持性血液透析(maintenance hemodialysis,MHD)患者应对方式与希望及社会支持的相关性。方法采用一般资料问卷、简易应对方式问卷、Herth希望量表和社会支持评定量表对115例老年MHD患者进行调查。结果患者的积极应对得分(1.58±0.47)分,低于全国常模,消极应对得分(1.84±0.43)分,高于全国常模。Pearson相关分析结果显示,积极应对与希望、社会支持呈正相关,消极应对与希望及社会支持呈负相关。结论老年MHD患者的应对方式有待改善,护理人员应采取措施增强患者的希望及社会支持,进而促进其应对方式的改善。
Objective To explore the correlation between coping style, hope and social support in elderly patients with maintenance hemodialysis (MHD). Methods A total of 115 elderly patients with MHD were investigated with the questionnaire of general information, simple coping style questionnaire, Herth hope scale and social support rating scale. Results The positive response score (1.58 ± 0.47), lower than the national norm, negative response score (1.84 ± 0.43) points, higher than the national norm. Pearson correlation analysis showed that positive coping and hope, social support was positively correlated, negative coping and hope and social support was negatively correlated. Conclusion The coping style of elderly patients with MHD needs to be improved, nurses should take measures to enhance patient’s hope and social support, and then to promote their coping style to improve.