影响尿毒症患者透析频次的因素及护理对策  

Factors Affecting the Dialysis Frequency of Patients with Uremia and the Nursing Strategy

作　　者：刘晓莉[1] 王云燕[1] 刘均敏[1] 张蓉[1] 刘颖[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所洗肾中心,重庆400042

出　　处：《解放军护理杂志》2007年第10B期16-17,64,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的分析影响尿毒症患者每周透析频次的相关因素,针对不同因素实施护理干预以提高患者生活质量。方法对68例维持性血液透析的尿毒症患者进行问卷调查,内容涉及经济状况、时间、相关知识及家庭等方面的问题,共8题。结果影响每周透析频次的因素有经济状况(78.5%)、时间(69.3%)、穿刺疼痛(53.9%)、相关知识贫乏(52.3%)、家庭(20.0%)、误解(7.7%)等。结论经济状况、时间、穿刺疼痛、相关知识贫乏是影响透析频次的主要因素,可通过节约消耗品、灵活安排透析时间、改善穿刺方法、加强健康教育等方法干预,达到每周透析3次以提高患者生活质量。Objective To explore the factors affecting the weekly dialysis frequency of patients with uremia, so as to provide nursing service according to different factors to improve the quality of life of patient. Methods Sixty-eight uremia patients on dialysis were surveyed by questionnaire. The questions included incomes, time consumption, related knowledge,family, etc. Totally there were 8 questions. Results The factors affecting the weekly dialysis frequency of patients included the family incomes （78.5 %）, time consumption （69. 3 %）, puncture pain （53. 9 %）, lack of related knowledge（52.3%）, family （20%）, misunderstanding （7.7%）, etc. Conclusion The family income, time consumption, puncture pain, and lack of related knowledge are the main factors influ- encing the dialysis frequency. Less consumption of diagnosis material, flexible time, improved puncture method, and health education can improve the patients who need dialysis 3 times per week.

关 键 词：血液透析 生活质量 护理干预 

分 类 号：R459.5[医药卫生—治疗学]