中青年慢性肾功能衰竭血液透析患者经济毒性现状及影响因素研究  

Study on the current status and influencing factors of economic toxicity in young and middle-aged patients with chronic renal failure undergoing hemodialysis

作　　者：周雪琴 朱小平[1] 王华静[2] 万雨洁 陈丽君 林静 ZHOU Xueqin;ZHU Xiaoping;WANG Huajing;WAN Yujie;CHEN Lijun;LIN Jing(Nursing Department,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Nephrology,Xiangyang Central Hospital,Xiangyang 441021,China)

机构地区：[1]武汉大学中南医院护理部,武汉市430071 [2]襄阳市中心医院肾病内科,441021

出　　处：《护理管理杂志》2025年第4期318-322,共5页Journal of Nursing Administration

摘　　要：目的了解中青年慢性肾功能衰竭血液透析患者经济毒性的现状,分析其影响因素,为临床医护人员制订干预措施提供依据。方法采用一般资料调查表、患者报告结局经济毒性综合评分量表、Connor-Davidson韧性量表、肾脏疾病生存质量专用量表对襄阳市某三级甲等医院就诊的326例中青年慢性肾功能衰竭血液透析患者进行问卷调查。结果中青年慢性肾功能衰竭血液透析患者经济毒性总分为21.00(14.00,28.00)分,与心理弹性和生存质量均呈正相关(P<0.01);家庭人均月收入、医疗付费方式、心理弹性和生存质量是其经济毒性的主要影响因素(P<0.01)。结论中青年慢性肾功能衰竭血液透析患者经济毒性处于轻度水平,临床医护人员可制订有效的干预措施,提高其心理弹性水平,降低患者经济毒性,改善中青年血液透析患者生存质量。Objective To understand the current situation of economic toxicity among young and middle-aged patients with chronic renal failure undergoing hemodialysis,analyze its influencing factors,and provide a basis for the development of intervention measures for clinical medical staff.Methods A questionnaire survey was conducted among 326 young and middle-aged patients with chronic renal failure undergoing hemodialysis in a tertiary class A hospital in Xiangyang City,using general information questionnaire,Comprehensive Scores for Financial Toxicity Based on the Patient-Reported Outcome Measures,Connor-Davidson Resilience Scale,and Kidney Disease Quality of Life-36.Results The total score of economic toxicity in young and middle-aged patients with chronic renal failure undergoing hemodialysis was 21.00(14.00,28.00)points.And it was positively correlated with both psychological resilience and quality of life(P<0.01).Household monthly per capita income,medical payment method,psychological resilience,and life were the main influencing factors of the patients'economic toxicity(P<0.01).Conclusion Young and middle-aged patients with chronic renal failure undergoing hemodialysis is at a mild level of economic toxicity.Clinical medical staff can formulate effective intervention measures to improve their psychological resilience,reduce the patients'economic toxicity,and improve the quality of life of young and middle-aged hemodialysis patients.

关 键 词：中青年 患者 慢性肾功能衰竭 血液透析 经济毒性 心理弹性 生存质量 

分 类 号：R473.5[医药卫生—护理学]