血液透析患者自我感受负担现状及其影响因素研究

Self perceived burden and its influencing factors in hemodialysis patients

目的了解终末期肾脏疾病行维持性血液透析患者的一般资料、自我感受负担水平以及自我感受负担的影响因素。方法采用随机抽样的方法抽选本市行维持性血液透析的患者,共475例。采用一般资料问卷和自我感受负担量表对其进行横断面调查。结果维持性血液透析患者自我感受负担得分为(35.41±8.55)分,其中经济负担得分为(3.93±1.18)分,情感负担维度得分为(14.02±4.11)分,身体负担维度得分为(16.90±4.52)分,均处于中等负担水平。患者自我感受负担受年龄、文化程度、工作状况、透析时间、有无并发症以及家庭月均收入等因素的影响。结论维持性血液透析患者自我感受负担高,心理问题严重,医护人员应该基于其影响因素,采取相应措施为患者制定个性化的心理护理方案,以保证患者的身心健康。

Objective:To investigate the general information,self perceived burden level and influencing factors of self perceived burden in patients with end-stage renal disease undergoing maintenance hemodialysis.Methods:A total of 475 patients with maintenance hemodialysis were selected by random sampling.General information questionnaire and self perceived burden scale were used to conduct a cross-sectional survey.Results:The self perceived burden score of maintenance hemodialysis patients was(35.41±8.55),of which the economic burden score was(3.93±1.18),the emotional burden score was(14.02±4.11)and the physical burden dimension score was(16.90±4.52).The self perceived burden of patients was affected by age,education level,work status,dialysis time,complications and family monthly income.Conclusion:Maintenance hemodialysis patients have high self feeling burden and serious psychological problems.Based on the influencing factors,medical staff should take corresponding measures to develop personalized psychological nursing programs for patients to ensure their physical and mental health.