维持性血液透析患者躯体功能调查及影响因素分析  

Body function investigation and influencing factors analysis of maintenance hemodialysis patients

作　　者：何雯雯[1] 苏默[1] 蔡志敏[1] 杨柳樊 晓霞 HE Wenwen;SU Mo;CAI Zhimin;YANG Liu;FAN Xiaoxia(China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]中日友好医院,北京100029

出　　处：《实用医学杂志》2020年第20期2852-2855,共4页The Journal of Practical Medicine

基　　金：北京市卫生科技发展专项基金(编号:2017-1-267)。

摘　　要：目的研究维持性血液透析患者躯体功能及其影响因素。方法选取2016年8月至2019年8月在本院进行维持性血液透析治疗的终末期肾脏疾病(ESRD)患者224例为研究对象,采用KDQOL量表进行躯体功能调查,通过自制社会人口资料调查表调查包括年龄、性别、工作状况、居住地、文化教育程度、医学背景等在内的一般资料,进行相关性分析和多元回归分析以分析影响躯体功能的因素。结果本研究的220例患者躯体功能总得分为(55.72±7.31)分,处于中低等水平,其中躯体功能得分(13.19±3.71)分,躯体角色得分为(12.78±1.87)分,躯体不适得分为(9.79±1.72)分,一般健康得分为(9.87±2.53分),症状与不适得分为(10.09±1.38)分;相关性分析显示,女性更容易出现躯体健康问题;透析时长,年龄,糖尿病史、高血压史均与躯体功能或躯体角色呈负相关;婚姻状态与躯体功能、躯体角色呈正相关;家庭月总收入与躯体功能、躯体角色、一般健康呈正相关;文化程度与躯体角色、一般健康呈正相关;多元线性回归分析显示年龄、糖尿病史、家庭收入是影响维持性血液透析患者躯体功能的主要因素。结论年龄、糖尿病史、家庭收入是影响维持性血液透析患者躯体功能的主要因素。Objective To study the body function and its influencing factors of maintenance hemodialysis patients.Methods A total of 224 patients with end⁃stage renal disease(ESRD)undergoing maintenance hemodi⁃alysis in our hospital from August 2016 to August 2019 were selected.The KDQOL scale was used for physical function survey,and the general data including age,gender,work status,place of residence,cultural education level,medical background,etc.were surveyed through the self⁃made social demographic data questionnaire,and perform correlation analysis and multiple regression analysis to detect factors that affect body function.Results The total body function score of 220 patients in this study was(55.72±7.31),which was in the middle and low level.Among them,the body function score was(13.19±3.71)points,the body role score was(12.78±1.87)points,and the body discomfort score was(9.79±1.72)points,general health score of(9.87±2.53)points,symptom and discomfort score of(10.09±1.38)points;Correlation analysis showed that female were more likely to have physical health problems.Dialysis time,age,history of diabetes and hypertension were all negatively correlated with physical function or physical role.Marital status was positively correlated with physical function and physical role.Family months total income was positively correlated with physical function,physical role,and general health.Educational level was positively correlated with physical role,general health.Multiple linear regression analysis showed that age,history of diabetes,and family income were the main factors affecting the physical function of patients with maintenance hemodialysis.Conclusion Age,history of diabetes and family income are the main factors affecting the body function of maintenance hemodialysis patients.

关 键 词：终末期肾脏疾病 维持性血液透析 躯体功能障碍 多元线性回归分析 躯体角色 

分 类 号：R692.5[医药卫生—泌尿科学]