中青年血液透析患者家庭功能现状及影响因素分析  

Characteristics and influencing factors of family functioning in patients undergoing Hemodialysis: an analysis of middle-aged and young adults

作　　者：吴宗壁 韩晓苇[1] 蓝丽娟 许海丹[3] 吕超群[4] 孙凌[5] 傅华珍[6] 路遥 罗登贵 钟利英 WU Zongbi;HAN Xiaowei;LAN Lijuan;XU Haidan;LYU Chaoqun;SUN Ling;FU Huazhen;LU Yao;LUO Denggui;ZHONG Liying(Nephropathy Clinic,Shenzhen Traditional Chinese Medicine Hospital,Guangdong Province,518033,China)

机构地区：[1]深圳市中医院肾病诊疗中心,518033 [2]深圳市人民医院血透室 [3]深圳市第二人民医院血透室 [4]深圳市第三人民医院血透室 [5]中山大学附属第八医院血透室 [6]北京大学深圳医院血透室 [7]南方医科大学深圳医院血透室

出　　处：《中国护理管理》2019年第12期1816-1821,共6页Chinese Nursing Management

摘　　要：目的:描述中青年血液透析患者的家庭功能现状,并分析其影响因素。方法:采用简单随机抽样法,于2018年11月至2019年3月使用一般资料调查表、家庭功能状况评估量表、社会支持评定量表对深圳市14所三级医院的378例中青年血液透析患者进行调查,分析其家庭功能现状,采用多元线性回归分析对其家庭功能现状的影响因素进行研究。结果:样本人群的家庭功能现状得分为8.00(6.00,9.00)分;253例(67.0%)患者家庭功能良好,101例(26.7%)患者家庭功能中度障碍,24例(6.3%)患者家庭功能严重障碍;多元线性回归分析显示,婚姻情况、工作情况、医疗费用支付方式、患病后人际关系、社会支持是中青年血液透析患者家庭功能现状的影响因素(P<0.05)。结论:中青年血液透析患者家庭功能处于中等偏上水平,婚姻情况、工作情况、医疗费用支付方式、患病后人际关系、社会支持是该群体家庭功能现状的影响因素。Objective:Describe the characteristics and influencing factors of family functioning in adult patients undergoing Hemodialysis.Methods:Using convenient sampling following simple random method,a total of 378 cases of middle-aged and young adult patients with Hemodialysis was enrolled in the current study from 14 tertiary hospitals in Shenzhen,between November 2018 and March 2019.The characteristics of these patients was collected via questionnaires,including the general demographic questionnaire,the scale in assessing family functioning,and the Social Support Rating Scale.Following multiple linear regression analysis,potential influencing factors for family functioning was identified.Results:In this sample,the mean score on family functioning was 8.00(6.00,9.00),with 253(67.0%)patients reported with adequate family function,but 101(26.7%)patients were reported with moderate family dysfunction,and 24(6.3%)patients with severe family dysfunction.Multiple linear regression analysis revealed that marital status along with working condition,medical payment method,interpersonal relationship during illness and social support were significant factors for family functioning in the model among these patients(P<0.05).Conclusion:In general,the overall family functioning of middleaged and young adult patients undergoing Hemodialysis is identified as moderate and above average in this sample.In addition,marital status,working condition,medical payment method,interpersonal relationship during illness,and social support are suggested to be potential influencing factors of family functioning among these patients.

关 键 词：中青年 血液透析 家庭功能 影响因素 

分 类 号：R47[医药卫生—护理学]