慢性肾功能不全病人经济毒性调查及影响因素分析  

Survey of economic toxicity for patients with chronic renal insufficiency and its influencing factors

作　　者：李春燕 尹丽娟[2] 刘文淑[2] 谯丹 李艳[2] 程悦 LI Chunyan;YIN Lijuan;LIU Wenshu;QIAO Dan;LI Yan;CHENG Yue(Department of Nephrology,Sichuan Academy of Medical Sciences&Sichuan Provincial People′s Hospital,Sichuan 610072 China)

机构地区：[1]四川省医学科学院·四川省人民医院肾脏内科,610072 [2]四川省医学科学院·四川省人民医院,610072

出　　处：《全科护理》2024年第16期2980-2985,共6页Chinese General Practice Nursing

基　　金：四川省科技计划项目,编号:2023YFSY0027。

摘　　要：目的:调查未透析慢性肾功能不全病人经济毒性现状,并分析其影响因素。方法:采用横断面调查研究方法,选取2023年10月—12月某三级甲等医院长期随访的未透析肾功能不全病人作为研究对象。应用一般资料调查问卷、中文版病人报告结局的经济毒性综合评分量表、社会支持评定量表、Connor-Davidson心理弹性量表、恐惧疾病进展简化量表进行调查。结果:回收有效问卷176份,经济毒性得分为(19.02±8.95)分,慢性肾功能不全病人存在经济毒性。多元线性回归结果显示,家庭平均月收入、目前工作状态、社会支持总分、恐惧疾病进展总分是慢性肾功能不全病人经济毒性的影响因素(P<0.05),模型可解释总变异的61.1%。结论:慢性肾功能不全未透析病人经济毒性的发生率较高,提示临床医护人员需要精准识别高风险经济毒性的慢性肾功能不全病人,进而根据影响因素采取降低经济毒性的有效策略,对缓解慢性肾功能不全病人的经济毒性具有重要意义。Objective:To investigate the status quo of economic toxicity in patients with chronic renal insufficiency without dialysis and to analyze its influencing factors.Methods:A cross-sectional study method was used to select patients with non-dialysis renal insufficiency who were followed up for a long time from October to December 2023 in a grade-III hospital.The General Information Questionnaire,the Chinese version of the Comprehensive Scores for Financial Toxicity Based on the Patient-Reported Outcome Measures,Social Support Rating Scale,Connor-Davidson Resilience Scale,and the Fear of Progression Questionnaire-Short Form were used for investigation.Results:A total of 176 valid questionnaires were collected,and the economic toxicity score was(19.02±8.95).The results of multiple linear regression showed that the average monthly household income,current employment,total score of social support,and total score of disease fear progression were the influencing factors of economic toxicity(P<0.05),and the model could explain 61.1%of the total variation.Conclusions:The incidence of economic toxicity in patients with chronic renal insufficiency without dialysis is high.The clinical staff need to accurately identify high-risk patients with chronic renal insufficiency,and then adopt effective strategies to reduce economic toxicity according to influencing factors,which is of great significance for alleviating economic toxicity in patients with chronic renal insufficiency.

关 键 词：肾功能不全未透析病人 经济毒性 影响因素 社会支持 恐惧疾病进展 

分 类 号：R473.5[医药卫生—护理学]