中青年腹膜透析患者个人掌控感现状及其影响因素分析

Characteristics and influencing factors of mastery in young and middle-aged patients undergoing peritoneal dialysis

目的:调查中青年腹膜透析患者个人掌控感现状并分析其影响因素。方法 :采用一般资料调查表、个人掌控感量表、Herth希望量表、中文版Piper疲乏修订量表对238例中青年腹膜透析患者进行问卷调查。结果 :中青年腹膜透析患者个人掌控感总得分为(26.02±3.81)分;多重线性回归分析结果显示,患者文化程度、家庭人均月收入、血肌酐水平、希望、疲乏是个人掌控感的影响因素(P<0.05)。结论 :中青年腹膜透析患者个人掌控感水平有待提高,应多关注文化程度较低、经济收入较低及血肌酐水平较高的患者;临床工作者应引导患者树立生活希望,鼓励其适度参与体力活动,借助身心疗法、中医疗法等改善疲乏程度,促进个人掌控感水平的提升。

Objective: To investigate the characteristics of mastery in young and middle-aged patients with peritoneal dialysis and to explore its influencing factors. Methods: Following convenient sampling, a total of 238 young and middleaged patients with peritoneal dialysis were investigated by using the general information questionnaire, Personal Mastery Scale(PMS), Herth Hope Index(HHI) and the Revised Piper Fatigue Scale-Chinese Version(RPFS-CV). Multiple linear regression was used to explore the main influencing factors of mastery among these patients. Results: The mean score of the PMS was 26.02±3.81. Multiple linear regression analysis showed that patients’ educational background, monthly income per family member, the level of serum creatinine, hope, and degree of fatigue were the influencing factors for mastery among these patients(P<0.05). Conclusion: The level of mastery in young and middle-aged patients with peritoneal dialysis is moderate but still needs to be improved, more attention should be paid to those patients with low educational level, low income with high serum creatinine level;health providers should provide guidance to patients and assist them to establish life hope during clinical practice, and encourage them to participate in moderatephysical activities, decrease the degree of fatigue by adapting physical, mental and traditional Chinese medicine therapies, therefore to promote their mastery level.