不同透析方式间患者重返工作准备度与家庭弹性的相关性分析  

Analysis on correlation between patients’return to work readiness and family flexibility in different dialysis modes

作　　者：彭源[1,2] 朱林芳 杨玉洁 袁怀红[1,2] 秦敏 刘小芳[3] 胡晓 张露[5] 李信梅 刘欢 PENG Yuan;ZHU Linfang;YANG Yujie;YUAN Huaihong;QIN Min;LIU Xiaofang;HU Xiao;ZHANG Lu;LI Xinmei;LIU Huan(Department of Nephrology,West China Hospital of Sichuan University/Institute of Nephrology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China;West China College of Nursing,Sichuan University,Chengdu,Sichuan 610041,China;Hemodialysis Room,Yucheng District People’s Hospital,Ya’an,Sichuan 625000,China;Hemodialysis Room,Jiangyou Municipal People’s Hospital,Jiangyou,Sichuan 621700,China;Hemodialysis Room,Longquanyi District First People’s Hospital,Chengdu,Sichuan 610100,China;Hemodialysis Room,Xuyong County Hospital of Traditional Chinese Medicine,Luzhou,Sichuan 646400,China;Hemodialysis Room,Shifang Municipal People’s Hospital,Shifang,Sichuan 618400,China)

机构地区：[1]四川大学华西医院肾脏内科/四川大学华西医院肾脏病研究所,成都610041 [2]四川大学华西护理学院,成都610041 [3]雅安市雨城区人民医院血透室,四川雅安625000 [4]江油市人民医院血透室,四川江油621700 [5]成都市龙泉驿区第一人民医院血透室,成都610100 [6]泸州叙永县中医医院血透室,四川泸州646400 [7]什邡市人民医院血透室,四川什邡618400

出　　处：《重庆医学》2023年第21期3294-3297,3302,共5页Chongqing medicine

基　　金：四川省科学技术厅科普培训项目(2021JDKP0084)。

摘　　要：目的探讨维持性血液透析(MHD)和腹膜透析(PD)患者重返工作准备度与家庭弹性的相关性。方法采用调查问卷、重返工作准备度量表(RRTWS)、家庭弹性量表(FRAS)对四川大学华西医院、雅安市雨城区人民医院、江油市人民医院、成都市龙泉驿区第一人民医院、泸州叙永县中医医院、什邡市人民医院血透中心及腹膜透析中心的257例门诊透析患者进行重返工作准备度、家庭弹性问卷调查,并分析重返工作准备度与家庭弹性的相关性。结果共发放257份问卷,收回有效问卷257份,其中MHD患者197例(76.7%),PD患者60例(23.3%)。两种治疗方式间RRTWS的前意向阶段均分、意向阶段均分、行动准备-自我评估阶段均分、行动准备-行动阶段均分、主动维持阶段均分、不确定维持阶段均分,FRAS各维度评分比较差异均无统计学意义(P>0.05)。MHD患者重返工作准备度与家庭沟通和问题解决(r=0.368,P<0.001)、利用社会资源(r=0.356,P<0.001)、持有积极看法(r=0.302,P<0.001)呈正相关。结论PD患者重返工作准备度与家庭弹性不存在相关性,MHD患者重返工作准备度与家庭弹性呈正相关。Objective To explore the correlation between the patients’return to work readiness and family resilience in maintenance hemodialysis(MHD)and peritoneal dialysis(PD).Methods The questionnaire,return to work preparation scale(RRTWS)and family elasticity scale(FRAS)were adopted to conduct the questionnaire survey on the patients’return to work readiness and family flexibility in 257 patients with outpatient dialysis in the hemodialysis centers and peritoneal dialysis centers of West China Hospital of Sichuan University,Yucheng District People’s Hospital of Ya’an City,Jiangyou Municipal People’s Hospital,Longquan District First People’s Hospital of Chengdu City,Xuyong County Hospital of Traditional Chinese Medicine and Shifang Municipal People’s Hospital.Then the correlation between return to work preparation and family elasticity was analyzed.Results A total of 257 questionnaires were issued and 257 valid questionnaires were recovered.Among them,there were 197 cases(76.7%)of MHD and 60 cases(23.3%)of PD.There were no statistical differences in the previous intention mean score,intension mean score,action preparation-self-as-sessment mean score,action preparation-action mean score,active maintenance mean score,uncertain mainte-nance mean score of RRWTS and scores for each dimension of FRAS between the two treatment modes(P>0.05).The return to work readiness in the patients with MHD was positively correlated with the family com-munication and problem solving(r=0.368,P<0.001),using social resources(r=0.356,P<0.001)and holding positive views(r=0.302,P<0.001).Conclusion There is no correlation between the return to work readiness and family flexibility in the patients with PD and the return to work readiness is positive correlated with the family flexibility in the patients with MHD.

关 键 词：血液透析 腹膜透析 重返工作 家庭弹性 相关性 

分 类 号：R459[医药卫生—治疗学]