中国血液净化

中国血液净化 ›› 2020, Vol. 19 ›› Issue (06): 427-430.doi: 10.3969/j.issn.1671-4091.2020.06.018

• 护理研究 • 上一篇    下一篇

维持性血液透析患者传染病健康素养调查及影响因素分析

朱林芳1,薛贵方1,袁怀红1,高梦琳1,吕文梅1   

  1. 1四川大学华西医院肾内科血液透析中心/华西护理学院
  • 收稿日期:2020-02-18 修回日期:2020-03-28 出版日期:2020-06-12 发布日期:2020-06-24

Investigation on health literacy of infectious diseases in maintenance hemodialysis patients and analysis of its influencing factors

  1. 1Hemodialysis Center, Department of Nephrology, West China Hospital/West China College of Nursing, Sichuan University, Chengdu 610041, China
  • Received:2020-02-18 Revised:2020-03-28 Online:2020-06-12 Published:2020-06-24

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摘要： 【摘要】目的调查维持性血液透析(maintenance hemodialysis,MHD)患者传染病健康素养，并探讨相关因素。方法采用传染病健康素养量表(infectious disease-specific health literacy,IDSHL)对维持性血液透析的200 例患者进行横断面调查。结果维持性血液透析患者传染病健康素养得分为(19.71±7.29)分；MHD 患者传染病健康素养低于普通人群。患者对从事餐饮行业需要办理健康证的传染病的预防知识有比较高的知晓率，有185 人(92.5%)；患者对患乙型肝炎不需要坚持服用抗生素的传染病管理与治疗知识有较差的知晓率，有36 人(18%)。患者文化水平(β=0.416，P=0.011)以及自评对传染病了解状况(β=-1.256，P＜0.001)是患者传染病健康素养的影响因素。结论临床实践中应该加强对文化程度低、自评对传染病不了解的患者的知识宣教和培训，提高他们的传染病健康素养。

关键词: 血液透析, 患者, 传染病, 健康素养

Abstract: 【Abstract】Objective To investigate the health literacy of infectious diseases in maintenance hemodialysis (MHD) patients, and to explore its related factors. Methods A cross-sectional investigation using the Infectious DiseasESpecific Health Literacy (IDSHL) was performed in 200 MHD patients. Results The health literacy scores of infectious diseases were 19.71±7.29 in the MHD patients, lower than the scores in general population. Patients (185 case, 92.5%) required health certificates for catering business had a relatively higher awareness rate of the prevention knowledge of infectious diseases. Patients (36 cases, 18%) had
poor knowledge about the treatment of hepatitis B, to which antibiotics are not required. The literacy level of patients (β = 0.416, P=0.011) and the understanding of infectious diseases by self- evaluation (β =- 1.256, P＜0.001) were the influencing factors for health literacy of infectious diseases. Conclusion In clinical practice, knowledge education and training should be strengthened for patients with low education level and poor knowledge about infectious diseases, so as to improve their health literacy of infectious diseases.

Key words: Hemodialysis, Patient, Infectious disease, Health literacy

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