中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (01): 67-70, 74.doi: 10.3969/j.issn.1671-4091.2024.01.015

• 护理研究 • 上一篇    下一篇

323例持续不卧床腹膜透析患者授权能力现状及影响因素调查分析

张 瑛   施学芝    管玉香    郑 静    王 超    许 娟   

  1. 230031 合肥，安徽中医药大学第一附属医院 1肾内科 3护理部
    237000 六安，2安徽医科大学附属六安医院护理部
    230031 合肥，4安徽中医药大学护理学院
  • 收稿日期:2023-07-10 修回日期:2023-10-09 出版日期:2024-01-12 发布日期:2024-01-12
  • 通讯作者: 管玉香 E-mail:892113643@qq.com
  • 基金资助:
    安徽省卫生健康委科研项目(WJ2021b068)；安徽省教育厅重大课题项目(2022AH040095)

Investigation of the empowerment status and its influencing factors in 323 patients with continuous ambulatory peritoneal dialysis

ZHANG Ying, SHI Xue-zhi, GUAN Yu-xiang, ZHENG Jing, WANG Chao, XU Juan   

  1. Department of Nephrology and 3Department of Nursing, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230031, China; 2Department of Nursing, Lu'an Hospital Affiliated to Anhui Medical University, Luan 237000, China; 4College of Nursing, Anhui University of Chinese Medicine, Hefei 230031, China
  • Received:2023-07-10 Revised:2023-10-09 Online:2024-01-12 Published:2024-01-12
  • Contact: 230031 合肥，安徽中医药大学第一附属医院 3护理部 E-mail:892113643@qq.com

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摘要： 目的 调查持续不卧床腹膜透析(continuous ambulatory peritoneal dialysis，CAPD)患者授权能力现状并分析其影响因素。 方法 采用便利抽样法，于2022年1月—2023年2月选取安徽中医药大学第一附属医院的323例CAPD患者为调查对象。采用一般资料调查表、腹膜透析简化授权量表及肾脏病生活质量量表进行横断面调查，多元逐步回归分析CAPD患者授权能力的影响因素。 结果 323例CAPD患者腹膜透析简化授权量表得分为(21.82±3.26)分，多元逐步回归分析结果显示年龄(β=-1.543,P =0.030)、文化程度(β=2.631,P=0.012)、就业状态(β=-3.021,P＜0.001)、主要照顾者(β=-3.301,P＜0.001)、透析龄(β=2.498,P＜0.001)、24小时超滤量(β=1.373,P=0.004)、主要并发症(β=-2.440,P＜0.001)、生活质量(β=1.527,P＜0.001)影响患者的授权能力水平，可解释总体变异度的62.0%。 结论 CAPD患者授权能力水平有待提高，对于高龄、文化程度低、无业、主要照顾者为非家庭成员、低透析龄及超滤量、发生透析相关性腹膜炎的患者，应当引起医护人员重视，采用积极有效的干预措施提高授权能力水平，使患者主动参与管理疾病。

关键词: 持续不卧床腹膜透析, 授权能力, 生活质量

Abstract: Objective  To investigate the current status and its influencing factors of empowerment in patients with continuous ambulatory peritoneal dialysis (CAPD).  Methods  A total 323 CAPD patients treated in the First Affiliated Hospital of Anhui University of Chinese Medicine from January 2022 to February 2023 were selected as the research subjects using convenience sampling method. General information questionnaire, the Simplified Peritoneal Dialysis Empowerment Scale, and Kidney Disease Quality of Life Scale were used to carry on the cross-sectional survey. Multivariate stepwise regression was used to analyze the influence factors for empowerment ability in CAPD patients.  Results  The score of the Simplified Peritoneal Dialysis Empowerment Scale in the 323 CAPD patients was 21.82±3.26. Multivariate stepwise regression showed that age (β=-1.543, P=0.030), education level (β=2.631, P=0.012), employment status (β=-3.021, P＜0.001), the main caregiver (β=-3.301, P＜0.001), dialysis age (β=2.498, P＜0.001), 24h ultrafiltration volume (β=1.373, P=0.004), major complications (β=-2.440, P＜0.001), and the quality of life (β=1.527, P＜0.001) were the factors influencing  empowerment ability in CAPD patients, and 62.0% of the total variation were explainable.  Conclusions  The empowerment ability needs to be improved in CAPD patients. Medical staff are required to adopt effective intervention measures to improve their empowerment ability and to help them actively manage the disease themselves, especially for those with older age, low education level, unemployment, non-family members as the main caregivers, low dialysis age, low ultrafiltration volume, and dialysis related peritonitis.

Key words: Continuous ambulatory peritoneal dialysis, Authorization capability, Quality of life

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