糖尿病肾病血液透析患者SPBS评分的影响因素分析

Influencing factors of SPBS score in hemodialysis patients with diabetes nephropathy

目的:探究糖尿病肾病(DN)血液透析患者自我感受负担量表(SPBS)评分的影响因素。方法:选取2019年7月至2021年6月我院86例DN血液透析患者为研究对象,采用SPBS评估其自我感受负担,采用多因素条件性logistic回归分析DN血液透析患者SPBS评分的影响因素。结果:86例DN血液透析患者SPBS总分为(36.27±4.83)分,总体处于中度水平。84.88%的患者存在不同程度的自我感受负担。医疗费用支出、透析时间、正念减压干预、疼痛恐惧水平、自我管控能力是DN血液透析患者SPBS评分的影响因素(P<0.05)。结论:医疗费用支出高、透析时间长、未应用正念减压干预、疼痛恐惧水平高、自我管控能力差的DN血液透析患者SPBS评分相对高,针对上述因素予以干预,对减轻患者自我感受负担、促进病情恢复具有一定作用。

Objective:To explore the influencing factors of self-perceived burden scale(SPBS)score in hemodialysis patients with diabetes nephropathy(DN).Methods:86 hemodialysis patients with DN in our hospital from July 2019 to June 2021 were selected as the research subjects.SPBS was used to evaluate their self-perceived burden.Multivariate conditional logistic regression was used to analyze the influencing factors of SPBS score in hemodialysis patients with DN.Results:The total SPBS score of 86 hemodialysis patients with DN was(36.27±4.83)points,which was generally at a moderate level.84.88%of patients had varying degrees of self-perceived burden.Medical expenses,dialysis time,mindfulness decompression intervention,pain fear level,and self-control ability were the influencing factors of SPBS score in hemodialysis patients with DN(P<0.05).Conclusion:DN patients receiving hemodialysis with high medical expenses,long dialysis time,no use of mindfulness decompression intervention,high level of pain fear,and poor self-control have relatively high SPBS score.Interventions targeting the above factors have a certain effect on reducing the patient's self-perceived burden and promoting disease recovery.