Relationship between self-perceived burden and psychological vulnerability in elderly patients with chronic renal failure undergoing hemodialysis
ZHANG Tingting1 XU Xianrong1▲ XU Jing1 MA Qing1 YE Yajun1 CAO Shiqi1 CHEN Lvjing1 ZUO Xiangrong2
1.Renal Disease Intensive Ward, Jiangsu Provincial People’s Hospital (the First Affiliated Hospital of Nanjing Medical University), Jiangsu Province, Nanjing 210029, China;
2.Department of Critical Care Medicine, Jiangsu Provincial People’s Hospital (the First Affiliated Hospital of Nanjing Medical University), Jiangsu Province, Nanjing 210029, China
Abstract：Objective To explore the relationship between self-perceived burden and psychological vulnerability in elderly patients with chronic renal failure sustained hemodialysis. Methods A total of 102 elderly patients with chronic renal failure who underwent maintenance hemodialysis treatment in the Renal Disease Intensive Ward of Jiangsu People’s Hospital from September 2019 to May 2022 were selected as the study objects. General data, scores of mental vulnerability questionnaire(MVQ), Connor-Dacidson psychological resilience scale (CD-RISC), and self-perceived burden scale (SPBS) were collected. The correlation of SPBS score with MVQ score and CD-RISC score were analyzed. According to the scores of SPBS, patients were divided into group A (SPBS score＜30 points) and group B (SPBS score≥30 points), and the influencing factors of patients’ self-perceived burden were analyzed. Results Among 102 elderly patients with chronic renal failure, MVQ score was (56.88±12.25) points, CD-RISC score was (35.73±9.25) points, SPBS score was (27.25±8.76) points, of which 54 cases (52.94%) in group A and 48 cases (47.06%) in group B. Pearson correlation analysis showed that SPBS score of elderly patients with chronic renal failure maintenance hemodialysis was positively correlated with MVQ score (r＞0, P＜0.05), and negatively correlated with CD-RISC score (r＜0, P＜0.05). The dialysis time of group B was longer than that of group A, the score of age, medical expense and MVQ was higher than that of group A, and the score of CD-RISC was lower than that of group A, with statistical significances (P＜0.05). Logistic regression analysis showed that dialysis time and MVQ score were risk factors for patients’ self-perceived burden (OR＞1, P＜0.05), and CD-RISC score were protective factors for patients’ self-perceived burden (OR＜1, P＜0.05). Conclusion Senile chronic renal failure patients with persistent hemodialysis generally have different degrees of self-perceived burden, and its degree is closely related to dialysis time and psychological vulnerability of patients.
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