中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (04): 256-260.doi: 10.3969/j.issn.1671-4091.2024.04.004

• 临床研究 • 上一篇    下一篇

维持性血液透析患者液体摄入行为现状及影响因素分析

张 艳   姜惠丽   张慧竹   吴 丽   

  1. 250013 济南，1山东第一医科大学附属中心医院肾脏病/血液净化科
  • 收稿日期:2023-09-18 修回日期:2023-11-30 出版日期:2024-04-12 发布日期:2024-04-12
  • 通讯作者: 张艳 E-mail:qc771025@163.com

Current status and influencing factors of fluid intake behavior in maintenance hemodialysis patients   

ZHANG Yan, JIANG Hui-li, ZHANG Hui-zhu, WU Li   

  1. Department of Nephrology and Blood Purification, The Central Hospital Affiliated to Shandong First Medical University, Jinan 250013, China
  • Received:2023-09-18 Revised:2023-11-30 Online:2024-04-12 Published:2024-04-12
  • Contact: 250013 济南，1山东第一医科大学附属中心医院肾脏病/血液净化科 E-mail:qc771025@163.com

摘要： 目的  探讨维持性血液透析(maintenance hemodialysis,MHD)患者的液体摄入行为现状及影响因素。 方法 采用便利抽样的方法，选取2021年1月─2021年12月山东第一医科大学附属中心医院MHD患者为研究对象，采用液体摄入健康信念量表和知识水平问卷对患者的健康信念和知识水平进行评价，并分析潜在影响因素。 结果 205名MHD患者中液体摄入行为处于无意向、意向、准备、行动、维持阶段的患者分别是21名(10.2%)、42名(20.5%)、43名(21.0%)、73名(35.6 %)、26名(12.7%)。年龄、液体摄入自我效能、知识水平每增长一个单位，液体摄入行为进入高等级阶段的可能性分别增加了3.700%(OR=1.037，95% CI:1.010～1.065，P=0.007)、18.700%(OR=1.187，95% CI:1.142～1.234，P＜0.001)、8.000%(OR=1.080，95% CI:1.006～1.160，P=0.033)。平均透析间期体质量增长值每降低1 kg，液体摄入行为进入高等级阶段的可能性增加了51.000%(OR=0.490，95% CI：0.330～0.727，P＜0.001)。 结论 年龄、平均透析间期体质量增长值、液体摄入自我效能及知识水平是患者液体摄入行为的主要影响因素。

关键词: 血液透析, 液体摄入行为, 影响因素

Abstract: Objective   To investigate the current status and influencing factors of fluid intake behavior in maintenance hemodialysis (MHD) patients.  Methods  A total of 205 MHD patients treated in The Central Hospital Affiliated to Shandong First Medical University from Jan. to Dec. 2021 were recruited by the convenience sampling method. Their health belief and knowledge level were evaluated by using the Liquid Intake Health Belief Scale and Knowledge Level Questionnaire. The influencing factors for fluid intake behavior were then analyzed.  Results   In the 205 MHD patients, fluid intake behaved in the stage of unintention in 21 patients (10.2%), intention in 42 patients(20.5%), preparation in 43 patients(21.0%), action in 73 patients(35.6%), and maintenance in 26 patients(12.7%). When age, fluid intake self-efficacy, and knowledge level increased by one unit, the likelihood of progression to a higher stage of fluid intake behavior increased by 3.7%(OR=1.037,95% CI：1.010～1.065,P=0.007),18.7% (OR=1.187, 95% CI：1.142～1.234,P＜0.001), and 8.0%(OR=1.080,95% CI：1.006～1.160, P=0.033) respectively. When the average interdialytic weight gain decreased by one kilogram, the likelihood of progression to a higher stage of fluid intake behavior increased by 51.0%(OR=0.490,95% CI： 0.330～0.727,P＜0.001).  Conclusion   Age, average interdialytic weight gain, self-efficacy of fluid intake and knowledge level are the influencing factors for fluid intake behavior in MHD patients.

Key words: Hemodialysis, Liquid intake behavior, Influence factor

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