摘要
目的 探讨维持性血液透析（MHD）患者中应对方式与负性情绪之间的关系。方法 利用慢性病患者应对措施问卷和正性负性情绪量表对234例MHD患者进行问卷调查，调查他们应对压力的方式和负性情绪。采用多重线性回归探讨不同的压力应对方式对负性情绪的影响。结果 在控制了混杂后，发泄与负性情绪呈正相关（β=0.024，P=0.010），回避、自我缓解因子与负性情绪评分呈负相关，但没有统计学意义（P＞0.05）。结论 发泄的应对方式是MHD患者高负性情绪的相关因素，应指导患者避免采用此类应对方式，缓解负性情绪。
关键词： 血液透析；应对方式；负性情绪；发泄
Abstract
Objective To explore the relationship between coping styles and negative emotions in maintenance hemodialysis (MHD) patients. Methods Coping styles and negative emotions were investigated by coping styles questionnaire and the positive and negative affect scale. Multiple linear regression was used to explore the effects of coping styles on negative emotions. Results After adjusting the confounders, venting was positively correlated with the negative emotions (β=0.024, P=0.010). Avoidance and self-remission were negatively correlated with the negative emotions, but the correlation was not statistically significant (P＞0.05). Conclusion Venting is the related factor of high negative emotion in MHD patients. Patients should be instructed to avoid such coping style, alleviate negative emotions.
Key words： Hemodialysis; Coping style; Negative emotion; Venting
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