慢性肾脏病患者就医延迟现状及影响因素分析

Status and Influencing Factors of Delayed Access to Care for Patients with Chronic Kidney Disease

为了解慢性肾脏病患者就医延迟现状并分析其影响因素,采用方便抽样法,对2021年9月~2022年4月在山西省某三甲医院就诊的291例慢性肾脏病患者进行问卷调查,通过描述统计和二元Logistic回归分析显示,慢性肾脏病患者就医延迟率为34.71%,居住地、社会支持水平、文化程度、疾病认知水平、家庭人均月收入、体检频率为患者就医延迟的独立影响因素(P<0.05)。今后应围绕就医过程提供针对性、延续性的全方位干预,有效提高高危人群对慢性肾脏病的防范意识和应对能力,从而提高其早期就诊率,改善生活质量及预后。

In order to understand the current status of patients with chronic kidney disease and analyze its influencing factors,this study adopted convenient sampling method to conduct a questionnaire survey among 291 patients with chronic kidney disease in a level-A tertiary hospital in Shanxi Province from September 2021 to April 2022.Descriptive statistics and binary Logistic regression analysis showed that the delay rate was 34.71%.Residence,social support level,education level,disease awareness level,per capita monthly family income and frequency of physical examination were independent factors influencing the delay in seeking medical treatment(P<0.05).In the future,targeted and continuous interventions should be provided to improve the awareness of chronic kidney disease and coping ability of high-risk groups,thus increasing their early consultation rate and improving their quality of life and prognosis.