扬州市血液透析患者对社区建设血液透析中心的认知及接受状况研究  

Study on the cognition and acceptance of community-based hemodialysis centers among hemodialysis patients in Yangzhou

作　　者：徐骏[1] 陈蕊[2] XU Jun;CHEN Rui(Blood Purification Center,Northern Jiangsu People’s Hospital,Yangzhou,Jiangsu 225000,P.R.China;Department of Nephrology,Northern Jiangsu People’s Hospital,Yangzhou,Jiangsu 225000,P.R.China)

机构地区：[1]江苏省苏北人民医院血液净化中心,江苏扬州225000 [2]江苏省苏北人民医院肾内科,江苏扬州225000

出　　处：《华西医学》2022年第7期1027-1034,共8页West China Medical Journal

基　　金：2020年扬州市重点研发项目—社会发展项目(YZ2020106);2021年扬州市政策引导计划—软科学研究项目(YZ2021212)。

摘　　要：目的了解扬州市血液透析患者对社区建设血液透析中心的认知及接受状况,为社区血液透析中心的发展提供理论依据。方法采用整群随机抽样法选取2021年4月在扬州市各地区治疗的400例维持性血液透析患者进行问卷调查,分析患者就医行为的影响因素。结果共收回有效问卷390份,有效回收率为97.50%。有40.51%的患者非常关注社区建设血液透析中心,有56.67%的患者了解相关政策,有56.92%的患者愿意选择社区进行透析治疗。Logistic回归分析结果显示,影响患者是否选择社区进行血液透析治疗的主要因素包括患者的居住地[江都区vs.广陵区:比值比(odds ratio,OR)=7.183,95%置信区间(confidence interval,CI)(2.010,25.674),P=0.002;高邮市vs.广陵区:OR=22.512,95%CI(7.201,70.373),P<0.001;仪征市vs.广陵区:OR=25.137,95%CI(7.636,82.744),P<0.001;宝应县vs.广陵区:OR=23.784,95%CI(7.795,72.569),P<0.001]、关注度[有些关注vs.非常关注:OR=0.267,95%CI(0.137,0.521),P<0.001;不太关注vs.非常关注:OR=0.062,95%CI(0.023,0.168),P<0.001;不关注vs.非常关注:OR=0.101,95%CI(0.023,0.439),P=0.002]、认知度[有些了解vs.非常了解:OR=0.025,95%CI(0.002,0.318),P=0.004;不太了解vs.非常了解:OR=0.035,95%CI(0.003,0.439),P=0.009;不了解vs.非常了解:OR=0.006,95%CI(0.000,0.084),P<0.001]。结论扬州市的血液透析患者对社区建设血液透析中心的认知度和接受度均处于较低水平,患者的居住地、对社区建设血液透析中心的关注度和认知度直接影响其是否选择社区进行治疗。相关部门和医疗机构可从影响患者就医选择的因素着手,进一步加强对社区透析的宣传,优化医疗资源配置,提高社区卫生服务能力。Objective To understand the cognition and acceptance of community hemodialysis centers among hemodialysis patients in Yangzhou,and to provide theoretical basis for the development of community hemodialysis centers.Methods A cluster random sampling method was used to select 400 maintenance hemodialysis patients treated in various areas of Yangzhou in April 2021 for a questionnaire survey to analyze the influencing factors of patients’medical treatment behavior.Results A total of 390 valid questionnaires were recovered,with an effective recovery rate of 97.50%.Among the patients,40.51% were very concerned about the construction of hemodialysis centers in the community,56.67%understood the relevant policies,and 56.92% of the patients were willing to choose the community for dialysis treatment.The results of logistic regression analysis showed that the main factors affecting whether patients choose community for hemodialysis treatment include the patients’residence[Jiangdu vs.Guangling:odds ratio(OR)=7.183,95%confidence interval(CI)(2.010,25.674),P=0.002;Gaoyou vs.Guangling:OR=22.512,95%CI(7.201,70.373),P<0.001;Yizheng vs.Guangling:OR=25.137,95%CI(7.636,82.744),P<0.001;Baoying vs.Guangling:OR=23.784,95%CI(7.795,72.569),P<0.001],degree of concern[some concern vs.very concerned:OR=0.267,95%CI(0.137,0.521),P<0.001;not very concerned vs.very concerned:OR=0.062,95%CI(0.023,0.168),P<0.001;not concerned vs.very concerned:OR=0.101,95%CI(0.023,0.439),P=0.002],awareness[somewhat know vs.know very well:OR=0.025,95%CI(0.002,0.318),P=0.004;don’t know very well vs.know very well:OR=0.035,95%CI(0.003,0.439),P=0.009;don’t know vs.know very well:OR=0.006,95%CI(0.000,0.084),P<0.001].Conclusions Hemodialysis patients in Yangzhou have a low level of awareness and acceptance of community-based hemodialysis centers.The patients’residence,degree of attention and awareness of community-based hemodialysis center directly affect whether they choose the community for treatment.The relevant departments and medical institutions can sta

关 键 词：血液透析 社区 认知度 关注度 

分 类 号：R473.2[医药卫生—护理学]