腹膜透析患者自我管理行为及健康状况的相关性研究

Study on the relationship between self-management behavior and health status of peritoneal dialysis patients

目的 了解目前国内腹膜透析患者自我管理行为的状况和健康状况,探讨患者自我管理行为与其健康状况的关系.方法 采用问卷调查的方法,结合实验室检查,对151例腹膜透析患者的自我管理行为和健康状况进行调查,分析自我管理行为与健康状况的关系,提出提高患者自我管理行为的护理措施.结果 腹膜透析患者自我管理行为得分为（28.8±5.32）分,患者自我管理行为与其生理和心理的健康状况密切相关.自我管理行为与Karnofsky活动指数、白蛋白水平呈正相关（P〈0.01）,与躯体症状、舒张压、血磷和抑郁水平呈负相关（P〈0.01）.结论 腹膜透析患者自我管理行为与其生理和心理的健康状况密切相关,自我管理行为的提高,有助于健康状况的改善.

Objective To explore the status of self-management behavior and health among peritoneal dialysis patients and their relationship. Methods A total of 151 cases with peritoneal dialysis were investigated with questionnaire for their self-management behavior and health status, in order to analyze the relationship between them and propose the nursing measurements of improving the nursing measurements. Results The self-management behavior score for peritoneal dialysis patient was （28. 8±5. 32）, their self-management behavior was correlated with physical and mental health. There showed pisitive correlation between self-management behavior and Kamofsky activity index, albumin levels （ P 〈 0. 01）, while negtive correlation with somatic symptoms, diastolic blood pressure, blood phosphorus and the level of depression （P 〈0. 01）. Conclusions Self management behaviors among peritoneal dialysis patients are closely related to their physical and mental health. The improvement of self management behavior is helpful to the improvement of health.