Abstract
Objective To explore the correlation between the family care and the hope level in maintenance hemodialysis (MHD) patients in grassroots hospital. Methods A total of 280 MHD patients were questionnaired by Herth Hope Scale and the Family APGAR Index. Pearson correlation analysis and hierarchical regression analysis were used to explore the effect of family care on the hope level in MHD patients. Results The total score of hope level in MHD patients was (29.04±4.23) staying in medium level, and 15.00% (42/280) of them in the low level, 62.86% (176/280) of them in the medium level, and 22.14% (62/280) of them in the high level. The total score of family care in MHD patients was (6.45±1.51), and 61.07% (171/280) of them suffered the family care disability, among them, 22.86% (64/280) MHD patients′ family care was serious disability, and 38.21% (107/280) MHD patients′ family care were moderate disability. Pearson correlation analysis shew that the reality, positive attitude (T) in the future, positive behavior (P), intimate relations with others (I)and total hope score had positive correlation with family care of adaptive level, cooperation, growing level, emotional level, intimate level and total score (P<0.05). There were significant difference of hope level in the patients with different gender, culture level, occupation, marital status, medical payment (P<0.05), and the hope level was significantly positively correlated with age (r=0.312, P<0.05) and family income(r=0.387, P<0.05), and was significantly negatively correlated with the receiving care time (r=-0.298, P<0.05), the length of MHD (r=-0.304, P<0.05) and the number of complication incidences (r=-0.364, P<0.05). Hierarchical regression analysis shew that adaptive level, intimate level and emotional level could explained 30.50% of the total variance of the hope level in MHD patients (△R2=0.305, P<0.05). Conclusions The hope level in MHD patients is in the medium level, and family care is poor. Family function may be the important influence factor of the hope level in MHD patients. Key words: Hemodialysis; Hope level; Family care; Grassroots hospital
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