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慢性肾脏病患者人格特点及其影响因素的研究

         

摘要

目的:调查慢性肾脏病(CKD)患者的人格特点并研究其影响因素。方法选取2014年1月~2015年1月于首都医科大学附属北京潞河医院(以下简称“我院”)肾内科住院的CKD患者150例为作为CKD组,同时选取我院同期健康体检者390名作为对照组。以艾森克人格问卷(EPQ成人)为测量工具,采用自评方式对两组人格情况进行评价。结果 CKD组患者E量表值与对照组比较差异无统计学意义(P>0.05),N量表值显著高于对照组(P<0.05),P、L量表值极显著高于对照组(P<0.01)。在艾森克人格问卷量表的不同性别在N维度的得分结果显示,男性明显高于女性,差异有统计学意义(P<0.05);各期CKD组在P维度上差异有统计学意义(P<0.05),1期的患者P维度得分值显著低于3期和4期的肾功能不全患者,4期患者P维度得分高于5期患者。结论 CKD患者在神经质与精神质方面,整体表现出具有典型的倾向,而慢性肾脏疾病患者艾森克人格P量表的影响因素是患者的病情发展、转归及其分期。%Objective To investigate the personality characteristics of patients with chronic kidney disease (CKD), and analyze its influencing factors. Methods 150 patients with CKD hospitalized in Department of Urology, Beijing Luhe Hospital, Capital Medical University (“our hospital” for short) from January 2014 to January 2015 were chosen as the CKD group, and 390 healthy examination in our hospital at the same time were selected as control group. Eysenck per-sonality questionnaire (EPQ) was as measuring tool, the personality characteristics of the two groups were evaluated by self-assessment. Results E score of CKD group showed no significant difference with that of the control group (P >0.05);N score of CKD group was much higher than that of the control group (P< 0.05); P and L scores of CKD group were also much higher than those of the control group (P< 0.01). Males had significantly higher N score than females (P < 0.05). The P dimension value of patients in CKD group in different stages showed significant differences (P <0.05). The P dimension value of CKD patients in stage 1 was significant lower than that of patients in stage 3. The P dimension value of CKD group in stage 1 was significant lower than that of patients in stage 4. The P dimension value of CKD patients in stage 4 was significant lower than that of patients in stage 5. Conclusion CKD patients show a typi-cal tendency in nervosity and psychoticism. However, influence factors of P dimension of EPQ in CKD patients are the progression of the disease, prognosis and staging.

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