Chinese Journal of Blood Purification

Chinese Journal of Blood Purification ›› 2019, Vol. 18 ›› Issue (11): 791-794.doi: 10.3969/j.issn.1671-4091.2019.11.016

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The awareness of dialysis related knowledge and its influence factors in hemodialysis patients

  

  1.  1Hemodialysis Center, University Town Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangdong 510006, China
  • Received:2019-02-22 Revised:2019-09-13 Online:2019-11-12 Published:2019-10-28

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Abstract:

【Abstract】Objective To investigate the awareness of dialysis related knowledge and its influence factors in maintenance hemodialysis (MHD) patients. Methods A cross-sectional survey was conducted in 104 MHD patients treated in the Hemodialysis Center, University Town Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine. Self-made dialysis related knowledge questionnaire was used to assess the awareness of dialysis related knowledge and its influence factors. Results The total score of dialysis related knowledge was 56.41+10.09 in the MHD patients. The percentages of the MHD patients with good, moderate and low levels of the knowledge were 1.9%, 33.7% and 64.4% respectively. Age was the influence factor for the knowledge scores of hyperkalemia, calcium and phosphorus disorders, and dietary principle (β =-0.226, -0.341 and -0.216 respectively; P=0.025, 0.000 and 0.023 respectively). Education level was the influence factor for the knowledge scores of volume control, renal anemia and dietary principle (β =0.209, 0.230 and 0.187 respectively; P=0.039, 0.023 and 0.045 respectively). Dialysis protocol was the influence factor for the knowledge scores of calcium and phosphorus disorders and dietary principle (β=0.235 and 0.254 respectively; P=0.013 and 0.010 respectively). The service year of the responsible nurses was the influence factor for the knowledge scores of renal anemia, dietary principle and vascular access (β=0.256, 0.316 and 0.284 respectively; P=0.040, 0.008 and 0.025 respectively). Conclusion The awareness of dialysis related knowledge in MHD patients is insufficient. Medical staff should focus the education about the dialysis related knowledge on
the patients with older age, lower education level and a single dialysis protocol. Administrators of hemodialysis should enhance the training especially for nurses with lower service years, through which their health education ability can then be improved.

Key words: Hemodialysis, Health education, Knowledge

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