血液透析患者之希望與社會支持的相關性探討

Relationships between Hope and Social Support of Hemodialysis Patients

本研究旨在探討接受血液透析治療之尿毒症患者的希望狀態與社會支持情形間的相關性。研究採橫斷式相關設計，以立意取樣的方式於台北一所教學醫院之血液透析室進行資料收集；研究工具包括赫氏希望量表與社會支持量表，所收集的資料以描述性統計、t檢定、皮爾森積差相關分析、簡單迴歸分析等方法進行資料處理。研究所得重要結果包括：血液透析患者的希望與社會支持情形屬中上程度；血液透析患者的希望狀態與社會支持情形間有相關；社會支持可以預測希望。本研究結果有助於護理人員了解血液透析患者的希望與社會支持情形，研究結果亦建議未來研究方向，並提供護理實務及護理教育之參考。

The purpose of this study was to explore relationships between hope and social support of hemodialysis treatment in uremia outpatients. A cross-sectional correlational design was used. The sample consisted of 102 patients undergoing long-term hemodialysis who were recruited from a hemodialysis center in Taipei,Taiwan. The research instruments included the Herth Hope Index (HHI) and the International Support Evaluation (ISEL). Data were analyzed using descriptive statistics, t-tests, pearson correlations, and simple regression. There were several major findings of this study. Hemodialysis patients were found to have a medium level of hope and social support. Social support predicted hope in these patients. Among the demographic factors, age, educational levels, and work status were significantly related to levels of both hope and social support. However, no differences for either hope or social support were found among factors related to patients’ gender, marital status, and religious beliefs. In addition, the length of time the patient had been on hemodialysis was not related to levels of hope or social support. The findings of this study will assist nurses with understanding levels of hope and social support in hemodialysis patients. Health care professionals may need to offer appropriate nursing interventions, in order to enhance patients’ levels of social support and hope. Important implications for nursing practice and nursing education as well as directions for future studies were discussed in this study.