维持性血液透析患者慢性病共病治疗负担潜在类别及影响因素分析

Analysis of potential categories and influencing factors of chronic comorbidity treatment burden in maintenance hemodialysis patients

目的探讨维持性血液透析(maintenance hemodialysis,MHD)患者慢性病共病治疗负担的潜在类别及其影响因素。方法采用便利抽样法选取2023年4月-5月在江苏省苏北人民医院和扬州市江都人民医院的MHD患者为研究对象。采用一般资料调查表、慢性病共病治疗负担量表、慢性病患者健康素养量表进行问卷调查。采用潜在类别分析法探讨MHD患者慢性病共病治疗负担的分类,采用多分类logistic回归分析探讨共病治疗负担的影响因素。结果共发放调研问卷450份,回收有效问卷406份,有效回收率为90.22%。根据潜在类别分析结果,将MHD患者共病治疗负担分为3个潜在类别。其中低负荷组26例,中负荷组194例,高负荷组186例。有序多分类logistic回归分析结果显示,患者年龄、文化程度、透析龄、合并症数量、经济支持水平是MHD患者共病治疗负担的影响因素(P<0.05)。结论MHD患者的共病治疗负担可以分为3个潜在的类别。患者年龄、文化程度、透析龄、合并症数量、经济支持水平是MHD患者共病治疗负担的影响因素。

Objective To explore the potential categories and influencing factors of chronic comorbidity treatment burden in maintenance hemodialysis(MHD)patients.Methods Convenience sampling method was used to select MHD patients between April and May 2023 at Northern Jiangsu People’s Hospital and Jiangdu People’s Hospital as the research subjects.The general information questionnaire,Chronic Disease Comorbidity Treatment Burden Scale,and Health Literacy Scale for Chronic Disease Patients were used for the questionnaire survey.The latent class analysis was used to explore the classification of chronic comorbidity treatment burden in MHD patients,and the multi-class logistic regression analysis was used to explore the influencing factors of comorbidity treatment burden.Results A total of 450 survey questionnaires were distributed,and 406 valid questionnaires were collected,with an effective response rate of 90.22%.According to the latent class analysis results,the comorbidity treatment burden of MHD patients was divided into three potential categories.Among them,there were 26 cases in the low-burden group,194 cases in the medium-burden group,and 186 cases in the high-burden group.The results of the ordered multi-class logistic regression analysis showed that patient age,educational level,dialysis age,number of comorbidities,and level of economic support were potential factors affecting the comorbidity treatment burden in MHD patients(P<0.05).Conclusions The comorbidity treatment burden of MHD patients can be divided into three potential categories.The age,educational level,dialysis age,number of comorbidities,and level of economic support of patients are potential factors affecting the comorbidity treatment burden in MHD patients.