血液透析患者动静脉内瘘堵塞就医延迟的相关因素分析  

Analysis of the related factors of delay in seeking medical treatment for arteriovenous fistula occlusion in hemodialysis patients

作　　者：黄春军 Huang Chunjun(The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,510405,China)

机构地区：[1]广州中医药大学第一附属医院血液净化室,广东省广州市510405

出　　处：《护理实践与研究》2022年第4期508-511,共4页Nursing Practice and Research

摘　　要：目的探讨血液透析患者动静脉内瘘堵塞就医时间分布及就医延迟的影响因素。方法选取2019年1月—2020年7月在广州市2所三级甲等医院就诊的157例动静脉内瘘堵塞患者作为研究对象,采用自行设计的调查量表收集患者一般资料、疾病相关资料,观察就医时间分布情况。采用单因素分析及多因素Logistic回归分析血液透析患者动静脉内瘘堵塞就医延迟的影响因素。结果就医时间延迟患者123例,占78.34%。单因素分析显示,居住地、动静脉内瘘健康宣教情况、就医距离、本次就诊医院是否为首诊医院是动静脉内瘘堵塞患者就医延迟的影响因素(P<0.05)。多因素Logistic回归分析显示,居住地、动静脉内瘘健康宣教情况是动静脉内瘘堵塞患者就医延迟的独立危险因素(P<0.05)。结论动静内瘘堵塞就医延迟发生率较高,加强动静脉内瘘相关健康宣教,为患者制订明确的就医流程,开通绿色就医通道,保证患者及时发现动静脉内瘘异常并及时就医治疗。Objective To explore the time distribution of medical treatment and the influencing factors of delay in medical treatment in patients with hemodialysis patients with arteriovenous fistula occlusion.Methods A total of 157 patients with arteriovenous fistula occlusion who were treated in 2 tertiary grade A hospitals in Guangzhou city from January 2019 to July 2020 were selected as the study objects,and a self-designed questionnaire was used to collect the general data and disease-related data of the patients,observe the time distribution of medical treatment.Univariate analysis and multivariate Logistic regression were used to analyze the infl uencing factors of delay in seeking medical attention for arteriovenous fistula occlusion in hemodialysis patients.Results There were 123 patients with delayed medical treatment time,accounting for 78.34%.Univariate analysis showed that the residence,health education of arteriovenous fistula,distance to see a doctor,and whether the hospital was the first visit hospital were the infl uencing factors of delay in seeking medical treatment for patients with arteriovenous fistula obstructed(P<0.05).Multivariate Logistic regression analysis showed that the residence and health education of arteriovenous fistula were the independent risk factors of delay in seeking medical treatment for patients with arteriovenous fistula obstructed(P<0.05).Conclusion Arteriovenous fistula blockage had a high incidence of delayed medical treatment.Strengthen the health education related to arteriovenous fistula,formulate a clear medical treatment process for patients,and open a green medical treatment channel to ensure that patients can detect abnormal arteriovenous fistula and seek medical treatment in time.

关 键 词：血液透析 动静脉内瘘 堵塞 就医时间 就医延迟 

分 类 号：R473.5[医药卫生—护理学]