摘要
目的探讨维持性透析患者透析充分性相关影响因素。方法选择2011年5月至2012年4月该院透析中心注册维持性血液透析患者117例,按照患者是否具有透析充分性分为2组,透析充分性好组68例,透析充分性差组49例,比较两组的临床资料。结果 Logistic回归模型分析显示,患者的人血清蛋白(OR:1.891;95%CI:1.235～2.974;P<0.05),年龄(OR:2.314;95%CI:1.795～3.147;P<0.05),付款方式(OR:7.016;95%CI:6.175～8.236;P<0.05),每周透析次数(OR:5.184;95%CI:4.116～6.213;P<0.05)以及对患者心理、营养、社会支持度的全方位护理与患者透析充分性良好直接相关。结论加强透析患者心理、饮食护理及社会支持可能有助于提高患者透析充分性。
Objective To investigate the dialysis adequacy associated factors in maintenance hemodialysis（MHD） patients.Methods 117 cases of MHD in the dialysis center of this hospital from May 2011 to April 2012 were selected and divided into two groups according to dialysis adequacy.The good dialysis adequacy group（n=68） and the poor dialysis adequacy group（n=49）.The clinical data were compared between the two groups.Results The Logistic regression analysis showed that serum albumin（OR：1.891;95% CI 1.235-2.974;P0.05）,age（OR：2.314;95% CI：1.795-3.147;P0.05）,payment methods（OR：7.016;95%CI：6.175-8.236;P0.05）,dialysis frequency per week（OR：5.184;95% CI：4.116-6.213;P0.05） as well as all-round nursing care for patient’s psychology,nutrition and social supporting were directly correlated with the good dialysis adequacy.Conclusion Strengthening psychology and diet nursing care on patients and social supporting may be helpful for increasing dialysis adequacy in MHD patients.
出处
《重庆医学》
CAS
CSCD
北大核心
2013年第9期990-991,共2页
Chongqing medicine
关键词
肾透析
维持性
护理对策
dialysis adequacy
maintenance hemodialysis
nursing care
