Longitudinal study of psychological distress trajectory in young and middle-aged patients during peridialysis period
10.3969/j.issn.1000-6729.2024.06.005
- VernacularTitle:中青年围透析期患者心理痛苦轨迹的纵向研究
- Author:
Rui LI
1
;
Yue WU
;
Xiaofeng ZHENG
;
Lu MA
;
Hong SONG
Author Information
1. 徐州医科大学第二附属医院护理部,江苏徐州 221000
- Keywords:
young and middle-aged patients;
peridialysis period;
psychological distress;
longitudinal studies
- From:
Chinese Mental Health Journal
2024;38(6):487-492
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the changing trajectory of psychological distress in young and middle-aged patients during peridialysis period.Methods:Totally 122 patients in the peridialysis period were investigated with the Self-Designed General Data Questionnaire,Distress Screening Scale(DSS),Connor-Davidson Resilience Scale(CD-RISC),Social Support Revalued Scale(SSRS)and Self-Perceived Burden Scale(SPBS)at the time of diag-nosis,initial dialysis,and dialysis for 1 month,2 months and 3 months,respectively.The growth mix model was used to identify trajectory categories.Results:The time main effect of scores of DSS,CD-RISC and SPBS in peridi-alysis patients was statistically significant(Ps＜0.05),the scores of DSS and SPBS were the highest at the initial dialysis and the lowest at 3 months of dialysis.The CD-RISC scores were the lowest at the first dialysis and the highest at 3 months of dialysis.The trajectory of psychological distress was divided into 3 types,namely continuous high level(26.20％),high level decline(40.72％),and medium-low level decline(33.08％).Conclusion:The psychological distress of young and middle-aged peridialysis patients shows different trajectories from diagnosis to regular dialysis.Clinical staff should pay more attention to the psychological status of the first-time dialysis pa-tients.
