早期诊断尿毒症住院患者心理痛苦调查及其影响因素  

Psychological Pain Investigation and Its Influencing Factors in the Early Diagnosis of Uremic Inpatients

作　　者：李雪芹[1] 刁永书[1] 刘敏[1] 罗燕[1] 张华[1] 马登艳[1] LI Xue-qin;DIAO Yong-shu;LIU Min;LUO Yan;ZHANG Hua;MA Deng-yan(Dept. of Nephrology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院肾脏内科,四川成都610041

出　　处：《昆明医科大学学报》2019年第2期92-96,共5页Journal of Kunming Medical University

基　　金：四川省科技厅科研计划项目(2018SZ0218)

摘　　要：目的调查早期诊断尿毒症住院患者心理痛苦情况,并分析其影响因素。方法筛选四川大学华西医院2016年5月至2018年5月收治的早期诊断尿毒症住院患者,将符合标准的84名患者纳入调查,分别调查其一般情况、心理痛苦程度和表现,筛选可能影响早期尿毒症患者心理痛苦的单因素并采用Logistics回归分析方程分析影响的多因素。结果 84例患者中,心理痛苦评分大于4分患者44例,心理痛苦发生率52.38%,心理痛苦主要表现为疲乏感(57.14%)、感觉疼痛(44.05%)、睡眠障碍(42.86%)、与疾病相关问题(40.48%)和家庭管理问题(39.29%);年龄、付费方式、月收入、睡眠障碍、进食障碍和家人重视是影响早期诊断尿毒症住院患者心理痛苦的单因素(P <0.05);多因素Logistic回归分析显示,年龄≥35岁、自费医疗、月收入<4 000元、存在睡眠障碍和家人不重视是影响早期诊断尿毒症住院患者心理痛苦的独立危险因素。结论早期诊断尿毒症住院患者多存在心里痛苦,主要表现为疲乏、疼痛和睡眠障碍,年龄≥35岁、自费医疗、月收入<4 000元、存在睡眠障碍和家人不重视是影响早期诊断尿毒症住院患者心理痛苦的独立危险因素。Objective To investigate the psychological pain in the early diagnosis of uremic inpatients and analyze its influencing factors. Methods The uremic inpatients admitted to our hospital from May 2016 to May 2018 were screened, and 84 patients who met the criteria were included in the survey to investigate their general conditions, psychological pain level and performance. Single factors that might affect psychological pain of patients with early uremia were screened, and the multiple factors were analyzed by the logistic regression analysis equation. Results Among 84 patients, there were 44 cases with psychological pain score>4 points, and the incidence rate of psychological pain was 52.38%, and the psychological pain mainly showed fatigue (57.14%), sensory pain (44.05%), sleep disorder (42.86%), and disease related issues (40.48%) and family management issues (39.29%). Age, payment methods, monthly income, sleep disorders, eating disorders and family regard were single factors affecting the early diagnosis of uremic inpatients (P<0.05). Multivariate logistic regression analysis showed that age 35 years old, self-paying medical care, monthly income<4000 yuan, sleep disorders, eating disorders and family disregard were independent risk factors for psychological pain in the early diagnosis of uremic inpatients. Conclusions Uremic inpatients in the early diagnosis are often painful, mainly characterized by fatigue, pain and sleep disorders. Age≧35 years old, self-paying medical care, monthly income<4000 yuan,sleep disorders,eating disorders and family disregard are independent risk factors for psychological pain in the early diagnosis of uremic inpatients.

关 键 词：尿毒症住院患者 心理痛苦 影响因素 

分 类 号：R692[医药卫生—泌尿科学]