尿毒症血液透析患者个人生活掌控感现状及其影响因素  

Status quo and influencing factors of personal mastery in hemodialysis patients with uremia

作　　者：许韫婕 叶婷 柴丽 XU Yunjie;YE Ting;CHAI Li(Department of Nephrology,Yingtan City People's Hospital,Jiangxi Province,Yingtan 335000,China)

机构地区：[1]江西省鹰潭市人民医院肾内科,江西鹰潭335000

出　　处：《中国当代医药》2025年第9期27-30,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20204536)。

摘　　要：目的调查尿毒症血液透析患者个人生活掌控感现状及其影响因素。方法选取2020年1月至2024年1月鹰潭市人民医院210例尿毒症血液透析患者作为研究对象,采用一般资料调查表、个人掌控感量表、综合医院焦虑抑郁量表以及Herth希望量表进行调查。采用多元线性回归分析个人生活掌控感现状影响因素。结果单因素分析结果显示,不同接受教育程度、血肌酐水平和家庭月收入的患者个人生活掌控感比较,差异有统计学意义(P<0.05)。患者个人生活掌控感与焦虑呈负相关(r=-0.967,P<0.001),与抑郁呈负相关(r=-0.534,P<0.001),与希望呈正相关(r=0.986,P<0.001)。多元线性回归分析结果显示,受教育程度(B=0.386,t=2.302,P=0.022,95%CI:0.055~0.717)、血肌酐水平(B=0.522,t=2.389,P=0.018,95%CI:0.091~0.952)、家庭月收入(B=-1.218,t=7.511,P<0.001,95%CI:-1.538~-0.898)抑郁得分(B=-0.351,t=4.234,P<0.001,95%CI:-0.514~-0.187)和希望度(B=0.962,t=12.250,P<0.001,95%CI:0.807~1.116)均是影响患者个人生活掌控感低下的危险因素。结论尿毒症血液透析患者个人生活掌控感水平较低,透析时间短、接受教育程度低、家庭收入低、抑郁情绪程度重和希望度低是其影响因素。医护人员应给予重视,增强患者掌控感水平,促进病情恢复。Objective To investigate the current status of personal mastery of uremic hemodialysis patients and the factors influencing it.Methods A total of 210 uremic hemodialysis patients were selected from Yingtan People's Hospital from Jan-uary 2020 to January 2024.General information questionnaire,personal mastery scale,general hospital anxiety and depression scale,and herth hope scale were used to investigate.Multiple linear regression was used to analyze the factors influencing the current status of personal mastery.Results The results of univariate analysis showed that there were statisti-cally significant differences in the sense of control of personal mastery of patients with education level,blood creatinine level and family monthly income(P<0.05).The patients'sense of control in personal life was negatively correlated with anxiety(r=-0.967,P<0.001),depression(r=-0.534,P<0.001),and hope(r=0.986,P<0.001).The results of multiple linear re-gression analysis showed that education level(B=0.386,t=2.302,P-0.022,95%CI:0.055-0.717)and serum creatinine level(B=0.522,t=2.389,P=0.018,95%CI:0.091-0.952),family income(B=-1.218,t=7.511,P<0.001,95%CI:-1.538--0.898),depression score(B=-0.351,t=4.234,P<0.001,95%CI:-0.514--0.187)and hope(B=0.962,t=12.250,P<0.001,95%Cl:0.807-1.116)were risk factors affecting patients'low sense of control over their personal mastery.Conclusion Ure-mic hemodialysis patients have a low level of control over their personal mastery,and short dialysis time,low education,low family income,heavy depression,and low hope are the influencing factors.Healthcare professionals should pay attention to enhance the level of patients'sense of control and promote the recovery of their condition.

关 键 词：尿毒症血液透析 个人生活掌控感 焦虑抑郁 家庭关怀度 影响因素 

分 类 号：R692[医药卫生—泌尿科学]