摘要目的：了解肾透析患者的心理弹性及影响因素，用于指导临床教学。方法使用心理弹性问卷（Connor-Davidson resilience scale， CD-RISC）、简单应对方式问卷（simplified coping style questionnaire， SCSQ）、领悟社会支持量表（perceived social support scale， PSSS）以及正负性情绪量表（positive and negative affect scale， PANAS），对2013年1至3月在西南医院和新桥医院肾内科就诊的160名肾透析患者进行问卷调查，共获得有效问卷156份，采用二次输入的方式将问卷信息输入计算机，使用SPSS 18.0对问卷数据进行单因素方差分析、相关分析及逐步回归分析。结果肾透析患者的心理弹性在性别、肾透析的频率、肾透析时间上的差异没有统计学意义（P>0.05），在心理弹性和积极情绪上，31~岁组明显高于41~岁组（P=0.000），初中和大专以上学历明显高于小学组（P=0.000，P=0.000），线性回归分析中，心理弹性与社会支持、积极应对、正性情绪呈显著正相关，与负性情绪显著负相关。结论40岁以上、学历较低的肾透析患者的心理弹性较低、积极应对较少，更容易出现负性情绪，不利于疾病康复和治疗。提高肾透析患者的积极应对、领悟社会支持、正性情绪，降低其负性情绪有利于心理弹性的提高。

abstractsObjective To investigate renal dialysis patients' resilience and influencing factors for clinical teaching. Methods Connor-Davidson resilience scale(CD-RISC),simplified coping style questionnaire (SCSQ), perceived social support scale (PSSS) and positive and negative affect scale (PANAS) were used for a survey of 160 renal dialysis patients in Xinan Hospital and Xinqiao Hospital (156 valid questionnaires) and the questionnaire information was put into the computer by the two-input mode and was made the questionnaire data analysis, single factor analysis and variance and re-gression analysis of by SPSS 18.0. Results Renal dialysis patients' resilience has no significant differ-ence in gender, frequency of kidney dialysis and kidney dialysis time (P>0.05), but resilience and positive coping scores of the age group between 31 to 40 were significantly higher than those of the group between 41-50 group(P=0.000). Taking the education background into consideration, resilience and positive coping scores of junior high school or above education were significantly higher than those of primary school education (P=0.000,P=0.000). Positive emotion, positive coping, and social support were positively correlated with resilience and negative emotions were negatively correlated with resilience in linear regression analysis. Conclusion Kidney dialysis patients who are over the age of 40 and less educated may have lower resilience, and less positive coping, more prone to nega-tive emotions, which is not conducive to the rehabilitation and treatment of disease. For kidney dialysis patients, improving their positive response, perceived social support and positive mood, and reducing their negative emotions are beneficial to the improvement of their resilience.