维持性血液透析患者治疗依从性差的影响因素  

Influencing factors of poor treatment compliance in maintenance hemodialysis patients

作　　者：杭晨彤 芦沙沙 陈芳 HANG Chentong;LU Shasha;CHEN Fang(The Fifth People’s Hospital of Wujiang District of Suzhou,Hemodialysis Room,Suzhou 215211 Jiangsu,China;The Fifth People’s Hospital of Wujiang District of Suzhou,Nursing Department,Suzhou 215211 Jiangsu,China)

机构地区：[1]苏州市吴江区第五人民医院血透室,江苏苏州215211 [2]苏州市吴江区第五人民医院护理部,江苏苏州215211

出　　处：《中国民康医学》2023年第8期7-10,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析维持性血液透析患者治疗依从性差的影响因素。方法:回顾性分析2021年1—12月该院收治的67例维持性血液透析患者的临床资料,应用维持性血液透析治疗依从性量表评估患者依从性,根据结果分为依从性好组和依从性差组,比较两组基线资料,并分析维持性血液透析患者治疗依从性差的影响因素。结果:67例维持性血液透析患者中,42例治疗依从性好,占62.69%,25例治疗依从性差,占37.31%;两组文化程度、心理状态、护患关系、家庭人均月收入、医保报销比例、维持性血液透析相关知识和透析时间占比比较,差异均有统计学意义(P<0.05);两组性别、年龄比较,差异均无统计学意义(P>0.05);Logistic回归分析结果显示,受教育程度为文盲、心理状态悲观、护患关系一般、家庭月收入<3000元、医保报销比例<40%、未掌握维持性血液透析相关知识和透析时间<3年均为影响维持性血液透析患者治疗依从性差的危险因素(OR>1,P<0.05)。结论:受教育程度为文盲、心理状态悲观、护患关系一般、家庭月收入<3000元、医保报销比例<40%、未掌握维持性血液透析相关知识和透析时间<3年均为影响维持性血液透析患者治疗依从性差的危险因素。Objective:To analyze influencing factors of poor treatment compliance in maintenance hemodialysis patients.Methods:The clinical data of 67 patients with maintenance hemodialysis admitted to this hospital from January 2021 to December 2021 were retrospectively analyzed.The maintenance hemodialysis treatment compliance scale was used to evaluate the patients’compliance.According to the results,they were divided into good compliance group and poor compliance group.The baseline data were compared between the two groups.The influencing factors of poor treatment compliance in the maintenance hemodialysis patients were analyzed.Results:Among the 67 maintenance hemodialysis patients,42 had good treatment compliance,accounting for 62.69%,and 25 had poor treatment compliance,accounting for 37.31%.There were significant differences in education level,psychological state,nurse-patient relationship,family per capita monthly income,medical insurance reimbursement ratio,maintenance hemodialysis related knowledge and dialysis time between the two groups(P<0.05).There were no significant differences in the proportion of gender and age between the two groups(P>0.05).Logistic regression analysis showed that illiteracy as the education level,pessimistic psychological state,general nurse-patient relationship,family monthly income<3000 yuan,medical insurance reimbursement ratio<40%,failure to master the maintenance hemodialysis related knowledge and dialysis time<3 year were risk factors of the poor treatment compliance of the maintenance hemodialysis patients(OR>1,P<0.05).Conclusions:Illiteracy,pessimistic psychological state,general nurse-patient relationship,family monthly income<3000 yuan,medical insurance reimbursement ratio<40%,failure to master the maintenance hemodialysis related knowledge and dialysis time<3 year are the risk factors of the poor treatment compliance of the maintenance hemodialysis patients.

关 键 词：维持性血液透析 治疗依从性 影响因素 受教育程度 透析时间 心理状态 医保报销 

分 类 号：R692[医药卫生—泌尿科学]