慢性肾脏疾病患者治疗依从性的调查  

Investigation on Medical Compliance of Patients with Chronic Kidney Disease

作　　者：陈伟红[1] 莫伊雯[1] 王洁[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院肾内科,上海200025

出　　处：《解放军护理杂志》2011年第13期8-10,28,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的了解慢性肾脏疾病患者治疗依从性的现状及其影响因素,探讨提高慢性肾脏疾病患者治疗依从性的对策。方法以2 0 1 0年3-6月在上海市某三级甲等医院肾内科住院治疗的1 4 7例慢性肾脏疾病患者为调查对象,采用自行设计的问卷调查其治疗依从性及影响因素。结果慢性肾脏疾病患者的药物依从性最好,日常生活习惯依从性最差;不同年龄、经济负担、家庭支持情况及疾病认知程度的慢性肾脏疾病患者的治疗依从性差异有统计学意义(P<0.05)。结论护理工作中应针对慢性肾脏疾病患者的治疗依从性特点及其影响因素采取有效的干预措施,以提高患者的治疗依从性、延缓疾病的进展。Objective To investigate the current status and influencing factors of medical compliance in patients with chronic kidney disease（CKD） and to explore the strategy for improving the compliance in the patients.Methods From March to June 2010,147 inpatients with CKD in the department of nephrology of a grade III（Level-A） hospital were investigated on the compliance and its influencing factors using a self-designed questionnaire.Results The compliance to the medicament treatment was the best.But the one to life habits was the worst.Significant differences were observed in CKD patients with different ages,economic burden,home care and awareness of the maladies（P〈0.05）.Conclusion Effective nursing intervention plays a vital role in improving the patients＇ compliance and delaying the progression of CKD according to the characteristics and the influencing factors of CKD patients＇ compliance.

关 键 词：慢性肾脏疾病 依从性 影响因素 护理 

分 类 号：R692[医药卫生—泌尿科学]