ObjectiveTo explore the effects of psychological elasticity and social support on the fear of progression in patients during induction period of maintenance hemodialysis (MHD).
MethodsA total of 152 patients in the induction period of MHD were investigated by general data scale, psychological elasticity scale, social support scale and fear of progression scale.
ResultsA total of 143 patients were included in the survey.The total score of elasticity questionnaire, social support and fear of progression were (58.73±10.37) points, (38.15±5.59) points, (46.53±7.02) points, respectively.There were significant differences in the scores of elasticity of MHD induction period patients with different age, marriage, educational background, family monthly income, complications and hemodialysis knowledge (P < 0.01).There were significant differences in social support among patients with different age, marriage, educational background and family monthly income (P < 0.01).The patients with different age, marriage, family monthly income, complications and hemodialysis knowledge were significantly different in fear of progression (P < 0.01).There was a negative correlation between psychological elasticity and the fear of progression (P < 0.05).In the dimensions of social support, except the utilization of support, the other dimensions were negatively correlated with fear of progression (P < 0.05).Multiple linear regression analysis showed that age, marriage, family monthly income, complications, hemodialysis knowledge, psychological elasticity and social support were the influencing factors of fear of progression.
ConclusionsFear of progression in patients during MHD induction period is a complex psychological feeling affected by many factors.Clinically, medical staff should take targeted intervention measures to help patients establish correct coping styles, so as to alleviate the fear of progression.
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