摘要
目的探讨维持性血液透析患者自体动静脉内瘘自我管理水平影响因素。方法选择2020年6—10月在浙江省台州医院进行血液透析的患者100例为调查对象,所有患者均采用自体动静脉内瘘作为透析通路。采用血液透析患者自我管理量表对患者自我管理能力进行评价。记录患者一般资料及临床资料,分析影响患者自体动静脉内瘘自我管理水平的相关因素。结果(1)单因素分析结果显示,自我管理良好组受教育年限长于自我管理差组(P<0.05);居住在农村、人均月收入<2000元/月、有合并症、社会支持欠佳、高水平疾病不确定感、消极应对方式、生活满意度低的患者自我管理差(P<0.05)。(2)多因素分析结果显示,受教育年限≥13年、人均月收入>5000元/月、社会支持良好、积极应对方式、生活满意度非常满意是维持性血液透析患者自体动静脉内瘘自我管理水平的保护因素,而有合并症、居住在农村、高水平疾病不确定感是危险因素(P<0.05)。结论受教育年限、人均月收入、合并症、社会支持、疾病不确定感、应对方式、生活满意度是维持性血液透析患者自体动静脉内瘘自我管理水平的影响因素,临床工作中应根据患者的具体情况,加强相关健康教育及心理疏导,提高患者的自我管理水平。
Objective To explore the influencing factors for self-management level of autologous arteriovenous fistula in maintenance hemodialysis patients.Methods A total of 100 patients who underwent hemodialysis in Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University from June to October 2020 were selected.All patients used autogenous arteriovenous fistula as the dialysis access.The self-management scale of hemodialysis patients was used to evaluate the self-management ability of patients.The general information and clinical data of patients were recorded to analyze the influencing factors for patient's self-management level of autologous arteriovenous fistula.Results(1)Single-factor analysis showed that the good self-management group had longer years of education than the poor self-management group(P<0.05).Patients living in rural areas,with per capita monthly income<2000 yuan/month,comorbidities,poor social support,and high levels of disease uncertainty,negative coping styles,and low life satisfaction had poor self-management(P<0.05).(2)Multi-factor analysis indicated that education years≥13 years,per capita monthly income>5000 yuan/month,good social support,active coping styles,and life satisfaction as very satisfied were protective factors for autogenous arteriovenous fistula in maintenance hemodialysis patients,while comorbidities,living in rural areas,and high levels of disease uncertainty were risk factors(P<0.05).Conclusion Education years,income,comorbidities,social support,disease uncertainty,coping styles,and life satisfaction are influencing factors for the self-management level of autologous arteriovenous fistulas in maintenance hemodialysis patients.The clinical practice should be based on patients′specific circumstances,strengthen relevant health education and psychological counseling,and improve the self-management level of patients.
作者
冯文菊
陈丹
俞建松
陈璐
FENG Wenju;CHEN Dan;YU Jiansong;CHEN Lu(Blood Purification Center,Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University,Taizhou317000,China;Department of Rehabilitation,Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University,Taizhou317000,China;Department of Nephrology,Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University,Taizhou317000,China)
出处
《中国现代医生》
2022年第2期100-103,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2018KY882)。
关键词
维持性血液透析
自体动静脉内瘘
自我管理
影响因素
Maintenance hemodialysis
Autogenous arteriovenous fistula
Self-management
Influencing factors
