维持性血液透析患者依从性的相关因素调查与分析

Investigation and analysis on compliance and correlative factors of patients underwent maintenance hemodialysis

目的探讨维持性血液透析患者的依从性及相关因素。方法采用一般情况问卷、维持性血液透析患者依从性评定量表对124例血液透析患者进行评估比较，对可能影响依从性的因素进行单因素和多因素分析。结果血液透析患者依从性的主要相关因素为家庭收入、求医条件、报销比例、主观态度。可能相关因素为家庭关系、性别、医患关系、并发症。结论研究维持性血液透析患者依从性的相关因素，采取有效措施提高其依从性，有助于血液透析患者的长期存活。

Objective To discuss the compliance and correlative factors of patients underwent maintenance hemodialysis. Methods 124 patients were evaluated and compared using a questionnaire for general information and the compliance rating scale of maintenance hemodialysis patients. Single--factor and multi--factor analysis were used to study the correlated factors that might affect the compliance. Results The analysis showed that the main relative factors of compliance were the family income, the condition of asking for medical treatment, the rate of reimbursement and the subjective attitude. The possible relative factors were the family relationship, the sex, the relationship between doctors and patients and the complications. Conclusions To study the compliance and correlative factors of maintenance hemodialysis patients and to adopt effective measures to improve the compliance are helpful to long--term survival of these patients.