中国血液净化

中国血液净化 ›› 2019, Vol. 18 ›› Issue (09): 614-617.doi: 10.3969/j.issn.1671-4091.2019.09.009

• 临床研究 • 上一篇    下一篇

青中年维持性血液透析患者自我管理和社会资源的相关性分析#br#

王文秀1,2,蒋晓莲3   

  1. 四川大学华西医院1呼吸与危重症医学科2肾内科血液透析中心
    3四川大学华西医院/华西护理学院
  • 收稿日期:2019-04-08 修回日期:2019-06-29 出版日期:2019-09-12 发布日期:2019-09-02
  • 通讯作者: 蒋晓莲 Jiang_xiaolian@126.com E-mail:jiang_xiaolian@126.com

The correlation between self-management and social resources among young and middle-aged patients undergoing maintenance hemodialysis#br#

  1. 1Department of Respiratory and Intensive Care and 2Center for Blood Purification, West China Hospital, Sichuan University, Chengdu 610041, China; 3West China Hospital/West China School of Nursing, Sichuan University, Chengdu 610041, China
  • Received:2019-04-08 Revised:2019-06-29 Online:2019-09-12 Published:2019-09-02

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摘要： 【摘要】目的了解青中年维持性血液透析患者自我管理和社会资源的现状，并分析二者的相关性。方法采用一般资料调查表、血液透析患者自我管理量表、慢性病资源量表对4 所三级甲等医院187 例青中年维持性血液透析患者进行调查。结果青中年维持性血液透析患者自我管理条目均分为(2.73±0.47)分，处于中等水平，患者社会资源条目均分为(3.11±0.55)分，其中社会环境和文化层面获得的社会资源水平较低，社会资源总分及医护人员支持、家人朋友支持、自我调节、邻里社区支持、媒体政策支持、社团组织支持等6 个维度与自我管理呈正相关(r 值分别为0.472, 0.234, 0.240, 0.393, 0.290, 0.299, 0.266；P 值分别为＜0.001，0.001，0.001，＜0.001，＜0.001，＜0.001，＜0.001)。结论医务人员应重视评估青中年患者对各层次社会资源的利用情况，指导其充分合理利用各类资源进行自我管理。

关键词: 维持性血液透析, 自我管理, 社会资源

Abstract:

【Abstract】Objective To investigate the correlation between self- management and social resources among young and middle-aged patients undergoing maintenance hemodialysis (MHD). Methods A total of 187 young and middle-aged patients undergoing MHD in the four tertiary medical centers in Chengdu were investigated by general information questionnaires, including the Hemodialysis Self- Management Instrument (HDSMI) and the Chronic Illness Resources Survey (CIRS). Results The mean score of HDSMI was 2.73±0.47, which is at the middle level. The mean score of CIRS was 3.11±0.55, in which the social resources obtained from social circumstances and cultural level were lower. The total score of social resources and the 6 dimensions including supports from medical staff, supports from family members and friends, self-adjustment, supports from neighborhoods, supports from media policy, and supports from social organizations were positively correlated with self- management (r=0.472, P＜0.001; r=0.234, P=0.001; r=0.240, P=0.001; r=0.393,P＜0.001; r=0.290, P＜0.001; r=0.299, P＜0.001; r=0.266, P＜0.001). Conclusion Health care providers should pay attention to the social resources among young and middle-aged MHD patients, and assist them to make full use of social resources to improve their self-management abilities.

Key words: Maintenance hemodialysis, Self-management, Social resources

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