中国血液净化

中国血液净化 ›› 2023, Vol. 22 ›› Issue (02): 153-157.doi: 0.3969/j.issn.1671-4091.2023.02.017

• 护理研究 • 上一篇    下一篇

维持性腹膜透析患者的舒适状况及其影响因素分析

周 婷   易春燕   林建雄   阳 晓   

  1. 510080 广州，1中山大学附属第一医院肾内科 2国家卫生健康委员会肾脏病临床研究重点实验室， 广东省肾脏病重点实验室
  • 收稿日期:2022-08-04 修回日期:2022-12-04 出版日期:2023-02-12 发布日期:2023-02-12
  • 通讯作者: 易春燕 E-mail:yichy@mail.sysu.edu.cn
  • 基金资助:
    广东省肾脏病重点实验室运行经费(2020B1212060028)；广东省医学科研基金项目(A2019394)

Comfort status and its influencing factors in peritoneal dialysis patients 

ZHOU Ting, YI Chun-yan, LIN Jian-xiong, YANG Xiao   

  1. Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China; 2NHC Key Laboratory of Clinical Nephrology (Sun Yat-Sen University) and Guangdong Provincial Key Laboratory of Nephrology, Guangzhou 510080, China
  • Received:2022-08-04 Revised:2022-12-04 Online:2023-02-12 Published:2023-02-12
  • Contact: 510080 广州，1中山大学附属第一医院肾内科 2国家卫生健康委员会肾脏病临床研究重点实验室，广东省肾脏病重点实验室 E-mail:yichy@mail.sysu.edu.cn

PDF

367

摘要： 目的  调查维持性腹膜透析(peritoneal dialysis，PD)患者的舒适状况并分析其影响因素。方法  采用方便抽样，选择2019年1月～2022年6月于中山大学附属第一医院随访的PD患者。采用自制的PD患者舒适量表评估患者的舒适状况，同时收集患者的人口学资料及临床数据。 结果  共有212例PD患者纳入本研究。入组患者的平均年龄(46.5±13.2)岁，男性占56.1%，中位PD龄28.6(10.3，64.0)月，基础肾脏病主要为肾小球肾炎(63.7%)。患者舒适量表总分为(93.2±11.2)分，各维度条目平均分显示生理维度最低为(3.3±0.5)分，其次是心理维度(3.5±0.5)分和社会维度条目(3.5±0.5)分，而环境维度条目平均得分较高为(3.8±0.4)分。多元线性回归结果显示较大的年龄(β=0.136，P=0.027)及较高的总肌酐清除指数(β=0.160，P=0.046)是PD患者舒适量表总分的独立保护因素。 结论  临床护理人员应在护理过程中改善维持性腹膜透析患者生理不适、注重心理护理及加强社会支持,同时对年纪较轻、总肌酐清除指数较低的患者给予更多的关注。

关键词: 腹膜透析, 舒适状况, 影响因素

Abstract: Objective  This study investigated the comfort status of patients with maintenance peritoneal dialysis (PD) and analyzed its influence factors.  Methods  Convenience sampling was used to select patients with PD who were followed up in the First Affiliated Hospital of Sun Yat-sen University from January 2019 to June 2022. The comfort status of PD patients was evaluated by the self-made comfort scale of PD. Demographic data and clinical data were also collected.  Results  A total of 212 maintenance PD patients were included in this study. Their mean age was 46.5±13.2 years, 56.1% were male, the median duration of PD was 28.6 (10.3,64.0) months, and glomerulonephritis was the primary renal disease in 63.7% of the patients. The total score of comfort scale was 93.2±11.2 points, and the mean score of each dimension item showed that the mean score of physiological dimension was the lowest (3.3±0.5 points), followed by the mean score of psychological dimension and social dimension items (3.5±0.5 points and 3.5±0.5 points respectively); the mean score of environmental dimension item was higher (3.8±0.4 points). Multivariate linear regression showed that older age (β=0.136, P=0.027) and higher level of total creatinine clearance index (β=0.160, P=0.046) were the independent protective factors for the total score of comfort scale.  Conclusions  Clinical nurses should improve the physical discomfort of maintenance PD patients, strengthen psychological nursing and social support in the process of nursing, and pay more attention to the younger patients and patients with lower total creatinine clearance index.

Key words: Peritoneal dialysis, Comfort, Influence factorr

中图分类号: