摘要
目的探讨维持性血液透析患者液体摄入依从性及其影响因素,以期为临床护理提供依据。方法便利抽样选取2013年12月—2014年5月湖南省某2所三级甲等医院血液净化中心的140例维持性血液透析患者,以透析间期体质量增加值/干体质量作为本研究衡量血液透析患者液体摄入依从性的指标,采用由Curtin发展李慧等专业人员进行翻译和回译修改后形成的中文版血液透析相关知识水平问卷进行调查,并用Logistic回归分析法分析患者液体摄入依从性及其影响因素。结果 140例维持性血液透析患者中液体摄入依从性较差的有61例,占43.6%。不同年龄、主要陪护人员、高水份食物了解情况、控制高水份食物摄入情况、血液透析年限、希望水平的血液透析患者,其液体摄入依从性不同,差异有统计学意义(P<0.01)。Logistic回归分析显示年龄、主要陪护人员、控制高水份食物摄入情况、血液透析年限、希望水平影响液体摄入依从性。结论年龄、主要陪护人员、控制高水份食物摄入情况、血液透析年限、希望水平是影响其液体摄入依从性的重要因素。
Objective To explore fluid intake compliance of maintenance hemodialysis （MHD） patients and its influence factors, then to provide reference for clinical nursing. Methods With convenience sampling, 140 MHD patients were investigated by clinical indicators and by Hemodialysis-related knowledge questionnaire （Chinese version） and logistc regression analysis was applied in the study. Results Totally 61 MHD patients presented poor compliance, accounting for 43.6%. There were statistically significant differences in fluid intake compliance among patients with different ages, main caregivers, knowledge of high moisture food, control of high moisture food intake, years of hemodialysis and the level of hope （P〈;0.01）. Logistic regression analysis showed that age, main caregiver, control of high moisture food intake, years of hemodialysis, the level of hope made a difference to fluid intake compliance. Conclusion Age, main caregiver, control of high moisture food intake, years of hemodialysis, the level of hope are the important factors influencing fluid intake compliance.
出处
《护理学报》
2015年第6期6-10,共5页
Journal of Nursing（China）
基金
湖南省卫生厅2010年度医药卫生科研计划项目(C2010-005)
关键词
维持性血液透析
液体摄入依从性
影响因素
maintenance hemodialysis
fluid intake compliance
influencing factors
