老年维持性血液透析患者社会隔离现状的调查研究  

Status and influencing factors of social isolation in elderly patients with maintenance hemodialysis

作　　者：尹艳茹 周洪昌[1] 刘梦如 梁发存 茹运新 杨文娟 宁云凤[2] 丁敏[3] YIN Yanru;ZHOU Hongchang;LIU Mengru;LIANG Facun;RU Yunxin;YANG Wenjuan;NING Yunfeng;DING Min

机构地区：[1]湖州师范学院护理学院,湖州市313000 [2]湖州市第一人民医院血液净化室 [3]湖州市第一人民医院肾内科

出　　处：《中华护理杂志》2023年第7期822-829,共8页Chinese Journal of Nursing

基　　金：湖州市第二批科技计划项目(2021GYB63);湖州师范学院研究生科研创新项目(2022KYCX70)。

摘　　要：目的调查老年维持性血液透析(maintenance hemodialysis,MHD)患者社会隔离现状及影响因素。方法便利选取2022年1月—5月湖州市某三级甲等医院230例老年MHD患者,采用一般资料调查表、社会网络量表简表、家庭关怀指数问卷、汉密尔顿抑郁量表、加州大学洛杉矶分校孤独感量表、社会支持评定量表进行横断面调查。将单因素分析具有统计学意义的变量纳入二元Logistic回归进行多因素分析。结果230例老年MHD患者社会隔离得分为(12.27±4.44)分,家庭隔离得分为(7.69±1.93)分,朋友隔离得分为(4.58±3.30)分,社会隔离、家庭隔离、朋友隔离发生率分别为45.2%、10.9%、60.4%。二元Logistic回归分析显示,年龄、透析龄、个人月收入、自评健康状况、社会参与、家庭支持、社会支持是老年MHD患者社会隔离的影响因素(P<0.05)。结论老年MHD患者社会隔离水平较高,朋友隔离发生率高于家庭隔离。临床医护人员可重点关注年龄大、透析龄长、健康状况差、经济水平低、社会参与少、家庭及社会支持水平低的老年MHD患者,根据相关影响因素制订干预措施,改善老年MHD患者的社会隔离现状,促进身心健康。Objective To investigate the status and influencing factors of social isolation in elderly patients with maintenance hemodialysis(MHD).Methods Using the convenience sampling method,230 elderly patients with MHD in a tertiary hospital in Huzhou were selected from January 2022 to May 2022.A cross-sectional study was conducted using general information questionnaire,Lubben Social Network Scale 6,the Family APGAR,Hamilton Depression Scale,UCLA Scale and Social Support Rating Scale.Variables with statistical significance in univariate analysis were incorporated into binary Logistic regression for multivariate analysis.Results The social isolation score of 230 elderly patients with MHD was(12.27±4.44);the family isolation score was(7.69±1.93),and the friend isolation score was(4.58±3.30).The incidence of social isolation,family isolation and friend isolation were 45.2%,10.9% and 60.4% respectively.Logistic regression analysis showed that age,dialysis age,monthly income,self-rated health,social participation,family support and social support were the influencing factors of social isolation in elderly patients with MHD(P<0.05).Conclusion Elderly patients with MHD have a higher level of social isolation;the incidence of friend isolation is higher than that of family isolation.Clinical medical staff can focus on elderly MHD patients with old age,long dialysis age,poor health,low economic level,less social participation,low family or social support.According to relevant influencing factors,intervention measures will be formulated to improve the social isolation of elderly MHD patients and promote physical and mental health.

关 键 词：老年人 终末期肾脏病 维持性血液透析 社会隔离 影响因素分析 横断面研究 护理 

分 类 号：R473.5[医药卫生—护理学]