腹膜透析病人重返工作准备度及影响因素分析  

Analysis of return-to-work readiness and influencing factors of peritoneal dialysis patients

作　　者：陈国伟 黄燕林[1] 王涵[1] 卢海珍 杨震 吴一平 CHEN Guowei;HUANG Yanlin;WANG Han;LU Haizhen;YANG Zhen;WU Yiping(The First Affiliated Hospital of Guangxi Medical University,Guangxi 530021 China)

机构地区：[1]广西医科大学第一附属医院,广西530021

出　　处：《护理研究》2022年第4期594-599,共6页Chinese Nursing Research

基　　金：广西医疗卫生适宜技术开发与推广应用项目,编号:S2017030。

摘　　要：目的:调查腹膜透析病人重返工作准备度现状及影响因素。方法:便利抽取2020年7月—2021年2月在广西壮族自治区某三级甲等医院腹膜透析门诊就诊的223例腹膜透析病人为研究对象,采用一般资料调查表、重返工作准备度量表(RRTWS)、社会支持评定量表(SSRS)、社会影响量表(SIS)进行问卷调查。结果:腹膜透析病人重返工作岗位率为33.2%,未重返工作病人处于意向阶段者占51.7%,行动准备-自我评估阶段者占18.1%,前意向阶段者占16.8%,行动准备-行为阶段者占13.4%;已重返工作的病人中处于主动维持阶段的占59.5%、不确定维持阶段的占40.5%;年龄、文化程度、合并症、透析龄、社会支持水平、病耻感程度是腹膜透析病人重返工作岗位的影响因素。结论:腹膜透析病人重返工作准备度有待提升,医护人员应积极关注病人重返工作准备度及影响因素,进行针对性干预,帮助病人更好、更快重返工作,回归社会。Objective:To investigate the status quo and influencing factors of return-to-work readiness in patients with peritoneal dialysis(PD).Methods:From July 2020 to February 2021,a total of 223 PD patients who were treated in the PD clinic of a tertiary grade-A hospital in Guangxi Zhuang Autonomous Region were conveniently selected as the research objects.The General Information Scale,Readiness for Return-To-Work Scale(RRTWS),Social Support Rating Scale(SSRS),and Social Impact Scale(SIS)were used to survey the patients.Results:A total of 33.2% of PD patients returned to work;51.7% of non-returned patients were in the intentional stage,18.1% in the action-readiness and self-assessment stage,16.8% in the pre-intentional stage,and 13.4% of the patients in the stage of action readiness and behavior;among the PD patients who have returned to work,59.5% in the active maintenance stage,and 40.5% in the uncertain maintenance stage.Age,education level,comorbidities,dialysis age,social support level,and the degree of stigma were the main indicators influencing return-to-work readiness of PD patients.Conclusions:The return-to-work readiness of PD patients should be improved.Medical staff should actively pay attention to the return-to-work readiness of patients and the influencing factors and carry out targeted interventions to help patients return to work and return to society better and faster.

关 键 词：腹膜透析 重返工作 社会支持 病耻感 影响因素 

分 类 号：R473.5[医药卫生—护理学]