影响维持性血液透析依从性的相关因素及预防对策  

Related Factors and Countermeasures of Maintenance Hemodialysis Compliance

作　　者：管哲星[1] 陈菊花[2] 

机构地区：[1]中国人民解放军第82医院肾内科,江苏淮安223001 [2]江苏省淮安市第二人民医院肾内科,江苏淮安223002

出　　处：《中国医药指南》2011年第36期25-26,共2页Guide of China Medicine

摘　　要：目的探讨影响维持性血液透析依从性的相关因素及预防对策。方法选择维持性血液透析治疗的130例患者作为研究对象,比较依从性及依从性不好患者在可能影响依从性因素上的差异。结果 130例患者中依从性好80例,依从性差70例,单因素分析中P<0.05的变量共9个,多因素Logistic回归分析结果显示出维持性血液透析依从性的4个独立相关因素:经济收入低(OR=3.85)、缺失家庭支持(OR=3.42)、认知行为不掌握(OR=2.97)、医患关系一般(OR=2.82)。结论引起维持性血液透析依从性因素复杂,应实施针对性干预对策提高维持性血液透析依从性。Objective To study the effect on maintenance hemodialysis compliance of related factors and countermeasures Methods Choose maintenance hemodialysis treatment of 150 patients as the research object, Compliance the differences of compliance good and bad in with compliance factors may influence. Results 130 patients compliance good 80 cases, compliance bad 70 cases. Single factor analysis P〈0.05 variables were nine, many factors Logistic regression analysis results showed that the maintenance hemodialysis adherence 4 independent related factors： economic income low （OR=3.85）, missing family support （OR=3.42）, cognitive behavior not master （OR=2.97）, the doctor-patient relationship general （OR=2.82）. Conclusions Cause maintenance hemodialysis compliance factors, should implement the targeted intervention complex countermeasures on maintenance hemodialysis improve compliance.

关 键 词：维持性血液透析 依从性 因素 对策 

分 类 号：R459.5[医药卫生—治疗学]