腹膜透析患者容量管理行为特征及与健康信念的相关性研究  

The features under volume management behavior and its relationship with health belief in peritoneal dialysis patients

作　　者：赵彩萍[1] 王丽[1] 马小琴[1] 王艳[1] 哈蕊蕊 Zhao Caiping;Wang Li;Ma Xiaoqin;Wang Yan;Ha Ruirui(Department of Nephrology,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Ningxia New Business Technical School,Yinchuan 751100,China)

机构地区：[1]宁夏医科大学总医院肾脏内科,银川750004 [2]宁夏新商务技工学校,银川751100

出　　处：《中国实用护理杂志》2021年第34期2650-2654,共5页Chinese Journal of Practical Nursing

基　　金：宁夏回族自治区重点研发计划一般项目(2018BEG03041)。

摘　　要：目的了解腹膜透析患者的容量管理行为特征,明确其与健康信念的相关性。方法采用便利抽样的方法选取2019年1—12月在宁夏医科大学总医院腹膜透析中心进行规律透析治疗的129例患者作为对象。采用一般情况调查表、健康信念量表、患者容量管理行为量表进行调查,分析患者健康信念状况和影响因素及其与容量管理行为的相关性。结果腹膜透析患者容量管理行为量表总分为(20.23±3.54)分,在所有条目中:"称量并记录灌入量和引流量"和"遵医嘱定期监测肾功能和电解质等相关检查"条目得分较高;而"少吃高盐高钠食物及根据超滤量,是否水肿和尿量,调节液体摄入量"条目得分较低;单因素分析发现:不同文化程度、不同就业情况、是否患糖尿病、不同体内水剩余比较,患者容量管理行为得分差异有统计学意义(F值为3.911,t值为2.409、4.990、6.070,均P<0.05);感知维持容量平衡障碍维度与容量管理行为总分及各维度呈负相关(r值为-0.243、-0.260、-0.299,P<0.05),液体摄入自我效能维度与容量管理行为总分及各维度呈正相关(r值为0.329、0.397、0.393,P<0.05)。结论腹膜透析患者容量管理行为水平有待提高;患者的文化程度、就业情况、是否患糖尿病、体内水剩余是患者容量管理行为的影响因素;感知维持容量平衡障碍及液体摄入自我效能与腹膜透析患者容量管理行为存在相关性。Objective To explore the status of volume management behavior in patients with peritoneal dialysis,and to explore the relationship between health belief and volume management behavior.Methods Convenient sampling was used to select 129 patients who underwent regular dialysis in the peritoneal dialysis center of the General Hospital of Ningxia Medical University from January to December 2019.The general condition questionnaire,Health Belief Scale,and Capacity Management Behavior Scale for patients with peritoneal dialysis were used.Results The total score of the Capacity Management Behavior Scale of peritoneal dialysis patients was 20.23±3.54.Among all the entries:"Weigh and record the infusion volume and drainage volume"and"Regular monitoring of renal function and electrolytes and other related examinations as directed by the doctor"scored higher,while the item"Eat less high-salt and high-sodium food and adjust fluid intake according to the amount of ultrafiltration,edema and urine output"item scored lower;single factor analysis found that different educational levels,different employment conditions,whether had diabetes mellius and different over hydration had statistical significance(F value was 3.911,t values were 2.409,4.990,6.070,P<0.05).The dimension of the perception maintenance capacity balance disorder was negatively correlated with the total score and each dimension of the capacity management behaviour (r values were-0.243,-0.260,-0.299,P<0.05),and the liquid intake self-efficacy dimension is positively correlated with the total score and each dimension of the capacity management behavior(r values were 0.329,0.397,0.393,P<0.05).Conclusions The level of Capacity management behavior of peritoneal dialysis patients needs to be improved;employment status,and whether he has diabetes or not are the influencing factors of the patients'capacity management behavior;in health beliefs,perception of maintenance of volume balance disorders and self-efficacy and peritoneal dialysis are correlated with patients'capacit

关 键 词：腹膜透析 容量管理 健康信念 水盐控制 

分 类 号：R473.5[医药卫生—护理学]