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KMID : 0378019860290020167
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New Medical Journal
1986 Volume.29 No. 2 p.167 ~ p.174
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The Relation of Trait Anxiety Levels and Complications in Patients on Long-Term Hemodialysis
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Abstract
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The purpose of this -study was to investigate trait anxiety levels and psychosomatic aspects of anxiety in patients on long-term hemodialysis. 60 patients were accepted according to the research criteria at 3 general hospitals in Seoul, Sooweon and Pucheon from Sep. 25 to Oct. 25, 1985.
These 60 subjects were given the trait anxiety test from the State-Trait Anx ety Inventory (STAI) by Spielberger et al. Subsequently, the subjects with the lowest 9 patients (Below Mean -1 S.D.) and the highest 10 patients (Above Mean +1 S.D.) were followed two months and a total 379 dialyses, and observed for hospitalizations, clinic appointments for treatment and deaths. During dialysis, they were observed for hypotension, nausea and vomiting, fluid overload, muscle cramps, pruritus, epistaxis, pain, headache, infection of vascular access and clotting of vascular access.
The results were as follows;
1. The average score of trait anxiety in hemodialysis patients was 42.783 and S.D. was 13.705 (range 2675).
The high anxiety group´s mean was 66.500 (S.D. 4.143, range 62-75), and the low group´s was 30.222 (S.D. 2.773, range 26-35).
2. The high anxiety group was found to have a significantly greater incidence of fluid overload (p=. 0220), while the low anxiety group had a greater incidence of hypotens on, but there was statistically not significant.
The high anxiety group also had a ´significantly greater incidence of total complications with the exception of hypotension (p=.0138).
3. According to correlations of trait anxiety score and incidence of complications, the higher score they had, the greater incidence of nausea and vomiting (p=.024), fluid overload (p=.013), pruritus (p=.008) and total complications with the exception of hypotension. 4. Fluid overload was significant correlation in muscle cramps(r=.4316,p=.024).
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