维持性血液透析患者自我管理水平与生存质量状况及其相关性

Self-management Level and Survival Quality Status of Patients with Maintenance Hemodialysis and Its Correlation

目的分析维持性血液透析患者自我管理水平与生存质量状况及其相关性。方法使用世界卫生组织生存质量测定量表和自我管理行为评定量表对维持性血液透析患者(60例)实施调查,调查时间2015年10月—2016年8月。结果 60例维持性血液透析患者经过调查研究后,世界卫生组织生存质量测定量表简表得分(40.57±6.20)分、自我管理行为分数为(86.55±16.40)分,维持性血液透析患者自我管理行为总分、治疗行为、心理社会行为、身体活动、饮食和液体摄入和患者生存质量呈现相关性(P<0.05)。结论维持性血液透析患者生存质量在较低水平,由于患者自我管理行为良好,患者生存质量和自我管理水平呈现相关性,提高患者治疗依从性和控制液体摄入行为,鼓励患者参与社会活动和体育锻炼,能提高每位患者管理水平,提高维持性血液透析患者生存质量。

Objective To analyze the self-management level and survival quality status of patients with maintenance hemodialysis and its correlation.Methods 60 cases of patients with maintenance hemodialysis were surveyed by the survival quality measurement table of WTO and self-management behavior evaluation table of WTO from October 2015 to August 2016.Results After the investigation,the survival quality measurement table of WTO and self-management behavior score were respectively(40.57±6.20)points and(86.55±16.40)points,and the total score of self-management behavior,treatment behavior,mental social behavior,body movement,dieting and fluid intake and survival quality were correlated(P<0.05).Conclusion The survival quality of patients with maintenance hemodialysis is at a lower level,and the survival quality is correlated with the self-management due to the good self-management behavior,we should improve the treatment compliance,control the fluid intake behavior,encourage patients to participate in the social activities and sports exercises,improve the management level of each patient and improve the survival quality of patients with maintenance hemodialysis.