Well-Being and Health in Kidney Failure: A Scoping Review.
Well-Being and Health in Kidney Failure: A Scoping Review.
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DOI：
10.1016/j.jaclp.2022.02.008
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发表时间：
2022-07
影响因子：
2.3
通讯作者：
Celano, Christopher M.
中科院分区：
文献类型：
--
作者：
Zambrano, Juliana;Romero, Perla;Longley, Regina;Huffman, Jeff C.;Cohen-Bucay, Abraham;Celano, Christopher M.
肾衰竭（KF）与身体机能受损、健康相关生活质量（HRQoL）下降、医疗成本增加以及心血管并发症和死亡率高发相关。在肾衰竭患者中，幸福感及相关特质，如积极情感、乐观、自我效能和心理韧性，可能对身心健康有益，且不受负面情绪和情感综合征的影响。然而，针对肾衰竭患者的这些特质的研究综述极少。
我们采用半系统方法进行了一项范围综述，以总结幸福感特质与肾脏健康之间的关系、介导这些关系的潜在机制，以及促进积极特质的干预措施对依从性和健康结果的影响。我们在PubMed和PsycInfo数据库中进行检索，检索时间截至2020年11月。如果文章符合以下条件则被纳入：（1）研究了幸福感特质与肾衰竭患者健康结果之间的关系；（2）潜在的生物学或行为介导因素；（3）以积极心理特质作为肾衰竭的结果或介导因素的干预措施；（4）用英语或西班牙语撰写。
在肾衰竭患者中，幸福感特质与健康相关生活质量提高、发病率和并发症降低以及生存率提高相关。介导这些关联的潜在机制包括炎症减轻、自主神经和内皮功能改善以及健康行为依从性提高。促进幸福感的心理和社会心理干预主要侧重于提高自我效能以促进行为改变，针对该人群促进积极心理特质的干预研究有限。
需要进一步研究以更好地理解幸福感特质与健康之间的关系，特别是针对肾衰竭人群。这可以为开发利用促进其他积极特质来改善幸福感和健康的必要干预措施提供依据。
Kidney Failure (KF) is associated with impaired physical function, reduced health-related quality of life (HRQoL), increased healthcare costs, and high rates of cardiovascular complications and mortality. Among individuals with KF, well-being and related constructs, such as positive affect, optimism, self-efficacy, and resilience, may have both mental and physical health benefits, independent of the effects of negative emotions and affective syndromes. However, there has been minimal review of these characteristics in people with KF. We conducted a scoping review, using a semi-systematic approach, to summarize the relationships between well-being characteristics and renal health, the potential mechanisms mediating these relationships, and the effects of interventions that promote positive constructs on adherence and health outcomes. We conducted database searches using PubMed and PsycInfo until November 2020. Articles were included if they examined (1) relationships between a wellbeing construct and health outcome in patients with KF, (2) potential biological or behavioral mediators, or (3) interventions that target positive psychological constructs as outcomes or mediators in KF, and (4) were written in English or Spanish. Among patients with KF, well-being constructs are associated with increased health-related quality of life (HRQoL), reduced morbidity and complications, and increased survival. Potential mechanisms mediating these associations include reduced inflammation, improved autonomic and endothelial function, and improved health behavior adherence. Psychological and psychosocial interventions promoting well-being have primarily focused on improving selfefficacy to promote behavior change, with limited study of interventions to promote positive psychological constructs in this population. Further research is needed to better understand the relationship between well-being constructs and health, specific to KF populations. This could inform the development of needed interventions that harness the promotion of other positive characteristics to improve well-being and health.
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