腹膜透析患者容量管理行为与疾病感知及希望水平的相关性研究

Correlation between volume-management behaviors,illness perception and hope level of peritoneal dialysis patients

目的探讨腹膜透析患者容量管理行为与疾病感知、希望水平的相关性。方法采用一般资料调查表、容量管理行为水平量表、简易疾病感知问卷及中文版Herth希望量表对135例腹膜透析患者进行问卷调查。结果共发放问卷137份,有效问卷135份,有效率98.54%。腹膜透析患者容量管理行为水平总分(17.01±4.27)分,少吃高盐高钠食物得分最低。患者容量管理行为水平总分、限盐及容量超负荷症状监测均与疾病了解程度呈负相关(P<0.05),腹膜透析相关容量管理与认知呈负相关(P<0.05)。容量管理行为水平总分及其各维度均与希望水平总分、与他人保持亲密的关系呈正相关(P<0.05),限盐及容量超负荷症状监测与采取积极的行动呈正相关(P<0.05)。结论腹膜透析患者容量管理行为与疾病感知及希望水平具有相关性,应加强患者医疗及家庭的支持与关怀,依据患者实际能力与需求,针对性指导患者对容量管理的正确认知,提高疾病了解程度,促进患者主动管理行为的形成。

Objective To explore the correlation between volume-management behaviors,illness perception and hope level of peritoneal dialysis patients.Methods A questionnaire survey was conducted on patients with peritoneal dialysis using general data scale,the volume-management behavior scale,the Brief illness perception questionnaire and the Chinese version of Herth Hope Index.Results A total of 137 questionnaires were distributed,of which 135 were valid,with an effective rate of 98.54%.Peritoneal dialysis patients had a total score of volume-management behavior(17.01±4.27),and the lowest score was given to eating less high-salt and high-sodium foods.The total score of patient volume-management behavior level,salt restriction and volume overload symptom monitoring were negatively correlated with illness understanding(P<0.05),and peritoneal dialysis-related volume-management was negatively correlated with cognition(P<0.05).The total score of volume-management behavior level and its various dimensions were positively correlated with the total score of hope level and maintaining close relationships with others(P<0.01),and monitoring of salt restriction and volume overload symptoms was positively correlated with taking active actions(P<0.05).Conclusion The volume-management behavior of peritoneal dialysis patients is related to illness perception and hope level.The medical and family support and care of patients should be strengthened.According to the actual abilities and needs of patients,the correct cognition of volume-management should be guided to improve disease understanding,to promote the formation of patients’active management behavior.