血磷管理遵医性与自我效能对血磷达标率影响的多因素logistic回归分析  

Correlation between self-efficacy and medical compliance of blood phosphorus management and blood phosphorus control in patients with uremic hemodialysis

作　　者：田甜[1] 付敬[1] TIAN Tian;FU Jing

机构地区：[1]山东大学齐鲁医院血液净化科,济南市250031

出　　处：《护理实践与研究》2020年第8期25-27,共3页Nursing Practice and Research

摘　　要：目的调查尿毒症血液透析患者血磷管理自我效能与遵医性及其对血磷控制的相关性分析。方法选择2017年5月至2019年5月于我院治疗的98例尿毒症血液透析患者为研究对象,调查其血磷管理自我效能与遵医性,采用多因素logistic回归分析确定不同血磷管理自我效能与遵医性对血磷控制水平的影响。结果患者血磷管理自我效能评分为(30.41±5.22)分,其中口服磷结合剂自我效能为(17.33±2.92)分,低磷饮食自我效能(13.08±3.01)分;血磷管理遵医行为评分(40.48±6.33)分,其中口服磷结合剂遵医性为(22.21±3.32)分,低磷饮食遵医性为(20.27±3.40)分;血磷管理遵医性与自我效能是血磷达标率的影响因素(P<0.05)。结论尿毒症血液透析患者口服磷结合剂管理自我效能与遵医性要好于低磷饮食,血磷管理自我效能与遵医性是血磷控制水平的影响因素。Objective To investigate the correlation analysis on self-efficacy and medical compliance of blood phosphorus management and blood phosphorus control due to self-efficacy and medical compliance of blood phosphorus management in patients with uremic hemodialysis.Methods To select 98 cases of patients with uremic hemodialysis treated in our hospital from May 2017 to May 2019 as the study objects,and to investigate their self-efficacy and medical compliance of blood phosphorus management.Multi-factor logistic regression analysis was used to determine the effect of self-efficacy and medical compliance of different blood phosphorus management on the blood phosphorus control level.Results The patient's self-efficacy score of blood phosphorus management was(30.41±5.22)points,of which the self-efficiency score of oral phosphorus binder was(17.33±2.92)points,and the self-efficacy score of low phosphorus diet was(13.08±3.01)points.The medical compliance behavior score of blood phosphorus management was(40.48±6.33)points,of which the medical compliance score of oral phosphorus binder was(22.21±3.32)points,and the medical compliance behavior of the low-phosphorus diet was(20.27±3.40)points.The medical compliance behavior and self-efficacy of blood phosphorus management were the influencing factors of control rate of the blood phosphorus(P<0.05).Conclusion The self-efficacy and medical compliance of oral phosphorus binders in patients with uremic hemodialysis were better than those of low-phosphorus diets.The self-efficacy and medical compliance of blood phosphorus management were the influencing factors of blood phosphorus control.

关 键 词：尿毒症 血液透析 血磷管理自我效能 遵医性 

分 类 号：R473.55[医药卫生—护理学]