维持性血液透析患者对延续性护理需求状况及相关因素的调查分析  

The demand status of continuous nursing and related factors in patients undergoing maintenance hemodialysis

作　　者：卜文夺 马红梅[2] 程惠玲[1] 张丹[1] 李昊宇 BU Wenduo;MA Hongmei;CHENG Huiling(Department of Urology,People’s Hospital of Wuhan University,Hubei,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院肾内科,武汉市430060 [2]武汉大学人民医院老年病科,武汉市430060 [3]武汉大学健康学院

出　　处：《河北医药》2020年第18期2842-2847,共6页Hebei Medical Journal

摘　　要：目的调查分析维持性血液透析患者对延续性护理的知晓情况、需求现状,以及影响其需求的相关因素,为进一步开展对维持性血液透析患者的延续性护理服务提供理论依据。方法采用方便抽样,在武汉大学人民医院血液透析室发放《维持性血液透析患者对延续性护理服务内容需求的调查问卷》,以SPSS 24.0软件对结果进行相关分析,得出维持性血液透析患者对延续性护理的知晓程度、需求现状以及其相关因素。结果被调查的158例患者中,不了解或从未听说过延续性护理的占90.5%,绝大多数人并不知道延续性护理的意义和实施方式。在了解延续性护理后,>80%的患者表示延续性会对自己有帮助且愿意配和医护人员开展延续性护理,在列举的若干项目中,透析相关感染的预防指导(4.18±0.851)分;慢性肾脏病及血透相关医疗常识(4.09±0.94)分;钾、钙、磷代谢知识的指导(4.09±0.809)分;血液分析检查结果及意义(4.07±0.972)分是最需求最强烈的四项。年龄、职业、文化程度、医疗付费形式、原发病类型、心率、血清白蛋白、血清前白蛋白、血磷和肱三头肌皮肤褶皱厚度为影响维持性血液透析患者对延续性护理需求的10个相关因素。结论患者对对延续性护理的知晓程度不足,需加强相关知识的普及。患者对延续性护理的需求是强烈的、多样性的,在临床中开展延续性护理工作可以改善患者的生活质量。影响维持性血液透析患者对延续性护理需求的因素也是多样化的,如何在临床开展有针对性的、因人而异的个性化延续性护理工作是今后研究的重点。Objective To investigate the demand status of continuous nursing and related factors in patients undergoing maintenance hemodialysis,so as to provide theoretical basis for carrying out further continuous nursing for maintenance hemodialysis patients.Methods A questionnaire was distributed in the hemodialysis room of our hospital.The investigation results including knowledge levels,demand status and related factors were analyzed by means of SPSS 24.0 software.Results Among the 158 patients surveyed,90.5%of them had never heard of continuous nursing,which meant that the overwhelming majority people did not know the significance and implementation way of continuous nursing.After understanding continuous nursing,more than 80%of patients indicated that continuous nursing would be helpful to themselves and they were willing to cooperate with medical staff to carry out continuous nursing.Among the items in the questionnaire,the top 4 demanding items were:prevention guidance of dialysis-related infections(4.18 points±0.851 points),medical knowledge related to chronic kidney disease and hemodialysis(4.09 points±0.94 points),guidance of knowledge about potassium,calcium and phosphorus metabolism(4.09 points±0.809 points)and significance of blood analysis(4.07 points±0.972 points).Moreover patient’s age,occupation,education degree,form of medical payment,type of protopathy,heart rate,serum albumin,serum prealbumin,blood phosphorus and TSF were ten related factors affecting the ontinuous nursing in patients who underwent maintenance hemodialysis.Conclusion The lack of knowledge of continuous nursin in patients undergoing maintenance hemodialysis indicates that the relevant knowledge about continuous nursing should be popularized for the public.To carry out the continuous nursing in clinical practice can improve the life quality of patients.How to carry out targeted and personalized continuous nursing in clinical practice is the focal point of future research.

关 键 词：维持性血液透析患者 延续性护理 了解程度 需求现状 相关因素 

分 类 号：R473.5[医药卫生—护理学]