Chinese Journal of Blood Purification ›› 2024, Vol. 23 ›› Issue (01): 67-70, 74.doi: 10.3969/j.issn.1671-4091.2024.01.015

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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

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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