维持性血液透析患者自我管理行为及影响因素分析

Analysis of self-management behaviour and factors influencing maintenance haemodialysis patients

目的:探究维持性血液透析患者自我管理行为及影响因素。方法:选取80例持续性血液透析患者进行问卷调查,结果采用Logistic回归分析评价患者自我管理行为的影响因素。结果:80例患者中自我管理行为良好者46例,一般的34例,良好患者的APGAR评分、SSRS评分均高于一般患者(P<0.05);多因素分析显示:APGAR评分、SSRS评分为维持性血液透析患者自我管理行为的影响因素(P<0.05)。结论:维持性血液透析患者的自我管理能力与家庭关怀度、社会支持相关,临床上应针对性干预。

Objective:To explore self-management behaviours and factors influencing maintenance haemodialysis patients.Methods:80 patients on continuous haemodialysis were selected for the questionnaire survey,and the results were analysed using logistic regression to evaluate the factors influencing the patients'self-management behavior.Results:Of the 80 patients,46 had good self-management behaviour and 34 had average.The APGAR score and SSRS score of the good patients were higher than those of the average patients(P<0.05);multifactorial analysis showed that APGAR score and SSRS score were the influencing factors of self-management behaviour of maintenance haemodialysis patients(P<0.05).Conclusion:The ability of maintenance haemodialysis patients to self-manage is related to the level of family care and social support,and should be targeted in clinical interventions.