腹膜透析早期患者疾病适应现状及其影响因素分析

发布时间：2018-01-30 22:42

本文关键词： 腹膜透析疾病适应影响因素　出处：《现代预防医学》2017年22期 　论文类型：期刊论文

【摘要】：目的分析腹膜透析早期患者疾病适应状况及其影响因素。方法采用一般资料调查问卷、疾病心理社会适应量表(PAIS-SR修订版)、医学应对方式问卷(MCMQ)以及Herth希望量表,对146例腹膜透析早期患者进行调查。结果疾病适应总分(61.32±9.03)分,患者疾病适应处于中等偏低水平。疾病适应总分与应对方式总分、面对维度、屈服维度呈负相关,与回避维度呈正相关,与希望总分及其各维度均呈负相关(P0.05)。多元线性分析显示,疾病适应影响因素为面对维度、希望总分、性别、月平均收入和与子女同住、与父母同住(P0.05);其中性别、月平均收入、与子女同住、面对维度和希望总分是疾病适应保护因素,其余变量为其危险因素,共同解释总变异的81.7%。结论腹膜透析早期患者疾病适应亟待提高,临床工作者制定干预时应注重提高患者积极应对和希望水平。
[Abstract]:Objective to analyze the condition of disease adaptation and its influencing factors in early stage of peritoneal dialysis. Methods General data questionnaire was used and PAIS-SR was revised. Medical coping style questionnaire (MCMQ) and Herth hope scale were used to investigate 146 patients with early stage of peritoneal dialysis. Results the total score of disease adaptation was 61.32 卤9.03. The total score of disease adaptation and coping style, face dimension, yield dimension is negative correlation, and avoidance dimension is positive correlation. Multiple linear analysis showed that the influencing factors of disease adaptation were face dimension, total score of hope, sex, average monthly income and living with children. Living with parents (P0.05); Sex, average monthly income, living with their children, face dimension and total score of hope are the factors of disease adaptation protection, and the other variables are their risk factors. Conclusion the early stage of peritoneal dialysis patients' disease adaptation needs to be improved, the clinicians should pay attention to improve the patients' positive coping and hope level when making intervention.
【作者单位】：郑州大学护理学院;河南省人民医院肾内科;郑州大学第一附属医院肾内科;
【基金】：河南省医学科技攻关计划项目(201503H006) 河南省高等学校重点科研项目计划(17A320047)
【分类号】：R473.5
【正文快照】： 慢性肾脏病的防治工作已成为全球医学界重要的公共卫生问题[1]。腹膜透析是一种接受度较好的肾脏替代治疗方式,对于提高我国慢性肾脏病患者的救治率具有重要的作用。2011年5月我国登记的腹膜透析患者约有2.3万人[2],腹膜透析早期患者因改变原有的生活状态,常出现适应不良。适

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