中国血液净化

中国血液净化 ›› 2021, Vol. 20 ›› Issue (01): 66-70.doi: 10.3969/j.issn.1671-4091.2021.01.16

• 护理研究 • 上一篇    

维持性血液透析患者矿物质和骨代谢异常知识与行为调查分析

储明子1,3 ,戈晓华2 ,胡春3, 饶琳4 ,王海燕5   

  1. 1上海交通大学护理学院
    2上海交通大学医学院附属新华医院护理部
    上海交通大学医学院附属第九人民医院3肾内科4护理部
    5上海交通大学医学院附属国际和平妇幼保健院

  • 收稿日期:2020-09-01 修回日期:2020-11-13 出版日期:2021-01-12 发布日期:2021-01-07
  • 通讯作者: 戈晓华 gexiaohua@xinhuamed.com.cn E-mail:ge_xiaohua@139.com
  • 基金资助:
    上海交通大学医学院附属第九人民医院护理科研基金资助项目(JYHL2019MS14)

Knowledge and behavior of mineral and bone disorder in maintenance hemodialysis patients

  1. 1School of Nursing, Shanghai Jiaotong University,Shanghai, 200025, China;  2Department of Nursing, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China;  3Department of Nephrology, 5Department of Nursing, The Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 201999, China; 4The International Peace Maternal and Child Health Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200030, China
  • Received:2020-09-01 Revised:2020-11-13 Online:2021-01-12 Published:2021-01-07

PDF

1020

摘要： 【摘要】目的调查维持性血液透析(maintenance hemodialysis,MHD)患者矿物质和骨代谢异常(mineral and bone disorder,MBD)知识行为现况，探讨其影响因素，为相关干预研究提供依据。方法采用慢性肾脏病MBD 知识行为问卷，对上海交通大学医学院附属第九人民医院303 例行MHD 患者进行调查。结果MHD 患者MBD 知识得分为(21.21±10.14)分，得分指数为46.11%；行为得分为(99.43± 8.22)分，得分指数为82.86%。其中教育程度(β=0.463,P＜0.001)、年龄(β=-0.243,P＜0.001)、每日服药总数(β=-0.211,P＜0.001)及透析龄(β=0.160,P＜0.001)是MHD 患者MBD 知识影响因素；性别(β=0.245, P＜0.001)、每日服药总数(β =- 0.193,P＜0.001)、年龄(β =0.177,P=0.001) 及合并症(β =0.169, P=0.002)是MHD 患者MBD 行为影响因素。结论MHD 患者MBD 知识和行为有待提高且受多因素影响。护理人员应基于患者个性特征制定个性化干预措施，提高知识水平，促进行为改善。

关键词: 血液透析, 矿物质和骨代谢异常, 知识, 行为

Abstract: 【Abstract】Objective To investigate the present status and related factors about the knowledge and behavior of chronic kidney disease- mineral and bone disorder (CKD- MBD) in maintenance hemodialysis (MHD) patients in order to provide the evidence for the improvement of intervention strategies. Methods A total of 303 MHD patients were investigated cross- sectionally using the general data questionnaire and the knowledge and behavior of CKD-MBD questionnaire. Results The score of knowledge about CKD-MBD was 21.21±10.14 and the score index was 46.11%; the behavior score was 99.43±8.22 and the score index was 82.86%. Our data indicate that the knowledge is affected by education (β=0.463, P<0.001), age (β=-0.243, P< 0.001), the amount of the medications the patients took (β=-0.211, P<0.001), and dialysis time (β=0.160, P< 0.001). The factors regulating the patients’behavior include gender (β=0.245, P<0.001), the amount of medications the patients took (β=-0.193, P<0.001), age (β=0.177, P=0.00), and complications (β=0.169, P=0.002). Conclusion The knowledge and behavior of CKD-MBD were insufficient and were affected by multiple factors in MHD patients. To improve the knowledge and behavior of CKD-MBD in MHD patients, nurses must adopt the interventions individually based on these factors.

Key words: Hemodialysis, Mineral and bone disorder, Knowledge, Behavior

中图分类号: