腹膜透析患者自我超越水平的单中心调查分析  

Singlecenter survey and analysis of self-transcendence in peritoneal dialysis patients

作　　者：陈国伟 黄燕林[1] 王涵[1] CHEN Guowei;HUANG Yanlin;WANG Han(Department of Nephrology,the First Affiliated Hospital of Guangxi Medical University,Guangxi Zhuang Autonomous Region,Nanning530021,China)

机构地区：[1]广西医科大学第一附属医院肾内科,广西南宁530021

出　　处：《中国医药导报》2021年第27期63-66,共4页China Medical Herald

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2017030)。

摘　　要：目的了解腹膜透析(PD)患者自我超越现状及影响因素。方法采用便利抽样法,选取2020年6月至10月于广西医科大学第一附属医院腹膜透析门诊就诊的162例PD患者为调查对象,应用一般资料调查表、自我超越量表、自尊量表、社会支持评定量表进行问卷调查。结果腹膜透析患者自我超越得分为(38.49±7.56)分,处于偏低水平。单因素分析显示,不同文化程度、工作状态、合并症腹膜透析患者自我超越得分比较,差异有统计学意义(P<0.01)。自我超越得分与自尊得分呈正相关(r=0.470,P<0.001),自我超越得分与社会支持总分及各维度得分均呈正相关(r=0.480、0.482、0.353、0.409,P<0.001)。文化程度、工作状态、合并症、自尊得分、社会支持共5个变量进入回归模型(F=24.26,P<0.001),可解释PD患者自我超越得分总变异的43.2%。结论腹膜透析患者自我超越得分偏低,应给予个性化的护理,提高其自我超越水平。Objective To investigate the status and influencing factors of self-transcendence in patients with peritoneal dialysis(PD).Methods Using convenience sampling method,a total of 162 PD patients who visited the peritoneal dialysis clinic of the First Affiliated Hospital of Guangxi Medical University from June to October 2020 were selected as the survey subjects.General information questionnaire,self-transcendence scale,self-esteem scale,social support rating scale were used to conduct questionnaire surveys.Results The self-transcendence score of peritoneal dialysis patients was(38.49±7.56)points,which was at a low level.Univariate analysis showed that there were statistically significant differences in the self-transcendence scores of peritoneal dialysis patients with different education levels,work status,and comorbidities(P<0.01).The self-transcendence score was positively correlated with the self-esteem score(r=0.470,P<0.001),and the self-transcendence score was positively correlated with the total score of social support and the scores of all dimensions(r=0.480,0.482,0.353,0.409,P<0.001).Five variables including education level,work status,comorbidities,self-esteem,and social support entered the regression model(F=24.26,P<0.001),which could explain 43.2%of the total variation of PD patients’self-transcendence score.Conclusion Patients with peritoneal dialysis have low self-transcendence scores and should be given personalized care to improve their self-transcendence level.

关 键 词：腹膜透析 自我超越 自尊 社会支持 影响因素 

分 类 号：R473.5[医药卫生—护理学]