维持性血液透析患者症状发生程度及其影响因素

发布时间：2018-08-20 14:20

【摘要】：目的:探讨维持性血液透析患者症状发生程度及其影响因素。方法:采用便利抽样法选取2015年7月至2015年9月在武警宁夏总队医院行维持性血液透析且满足纳入标准的患者142例,应用自行设计的一般情况调查表、血液透析患者症状评估量表、APGAR家庭功能评估量表及匹兹堡睡眠质量指数(PSQI)进行问卷调查。结果:维持性血液透析患者各症状发生率为53.5%~92.3%,其中疲乏的发生率(92.3%)最高,其次是瘙痒(86.6%)、皮肤干燥(85.9%),严重程度得分最高的症状依次为疲乏(30.3%)、入睡困难(27.5%)、性欲低下(27.5%)、易惊醒(27.5%)。多元线性回归分析显示,性别、民族、睡眠质量、合并高血压、合并心律失常情况对患者症状发生程度的影响差异有统计学意义(P0.05)。结论:维持性血液透析患者症状发生率较高,且其症状发生率及严重程度受性别、民族、合并高血压、合并心率失常及睡眠质量的影响,提示临床医护人员应结合患者自身特点有针对性地进行评估和干预,有效缓解患者的不适症状,进而提高其生存质量。
[Abstract]:Objective: to investigate the degree of symptom and its influencing factors in maintenance hemodialysis patients. Methods: from July 2015 to September 2015, 142 patients who had maintained hemodialysis and met the inclusion criteria were selected by convenience sampling method, and the self-designed general information questionnaire was used. APGAR family function assessment scale and Pittsburgh Sleep quality Index (PSQI) were used to investigate the symptoms of hemodialysis patients. Results: the incidence of symptoms in patients with maintenance hemodialysis was 53.5%, and the incidence of fatigue was the highest (92.3%), followed by itching (86.6%), dry skin (85.9%), fatigue (30.3%), difficulty in falling asleep (27.5%), low libido (27.5%) and waking easily (27.5%). Multiple linear regression analysis showed that sex, nationality, sleep quality, combined hypertension, combined with arrhythmias were significantly different in the degree of symptoms (P0.05). Conclusion: the incidence of symptoms in patients with maintenance hemodialysis is high, and the incidence and severity of symptoms are affected by sex, nationality, hypertension, arrhythmia and sleep quality. It is suggested that the clinical medical staff should evaluate and intervene according to the characteristics of the patients in order to effectively alleviate the discomfort of the patients and improve their quality of life.
【作者单位】：宁夏医科大学护理学院;武警宁夏总队医院肾脏科;
【分类号】：R692.5

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