Does hope predict adjustment to end-stage renal failure and consequent dialysis?
Does hope predict adjustment to end-stage renal failure and consequent dialysis?
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DOI：
10.1348/135910707x248959
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发表时间：
2008-11-01
影响因子：
7.9
通讯作者：
Giles, David
中科院分区：
文献类型：
--
作者：
Billington, Elizabeth;Simpson, Jane;Giles, David
目标.希望在确定一系列慢性疾病的积极结果方面很重要。本研究探讨了希望在调整终末期肾功能衰竭（ESRF）和随后的透析中的作用。一个横断面设计检查了希望的能力，预测调整ESRF超过其他相关变量。在英国西北部的4个单位接受透析的个人被邀请参加本研究。103份问卷包被纳入分析。多元回归方程确定了希望是否能够预测调整的显着差异，以及其他因素（人口统计学和疾病相关因素，感知控制和社会支持）的解释。焦虑、抑郁和生活质量的测量构成了ESRF适应的多维度测量。每个回归模型都是显著的。希望在五个多元回归中成为一个独立的重要预测因素：焦虑;抑郁;肾脏疾病的影响和症状;精神健康生活质量。年龄也是一个重要的预后因素。希望似乎是ESRF调整的重要预测因素。本研究的临床意义进行了讨论，沿着与建议，为今后的研究。
Objectives. Hope is important in determining positive outcomes in a range of chronic illnesses. This study examined the role of hope in adjustment to end-stage renal failure (ESRF) and consequent dialysis.Design. A cross-sectional design examined the ability of hope to predict adjustment to ESRF over and above other relevant variables.Methods. Individuals receiving dialysis at 4 units in the North-West UK were invited to take part in the study. 103 questionnaire packs were included in the analysis. Multiple regression equations determined whether hope was able to predict significant variance in adjustment over and above that accounted for by other factors (demographic and illness-related factors, perceived control, and social support). Measures of anxiety, depression, and quality of life constituted a multidimensional measure of adjustment to ESRF.Results. Each of the regression models was significant. Hope emerged as an independent significant predictor in five of the multiple regressions: anxiety; depression; effects and symptoms of kidney disease; and mental health quality of life. Age also emerged as an important predictor of outcome.Conclusions. It appears that hope is a significant predictor of adjustment to ESRF. Clinical implications of this research are discussed, along with suggestions for future research.