| 段含含,徐巍.维持性血液透析患者二元应对现状及影响因素分析[J].上海护理,2023,23(6): |
| 维持性血液透析患者二元应对现状及影响因素分析 |
| Investigation and analysis of factors related to dyadic coping in maintenance hemodialysis patients |
| 投稿时间：2022-09-20 修订日期：2023-05-27 |
| DOI： |
| 中文关键词: 维持性血液透析 终末期肾病 二元应对 影响因素 自我效能 |
| 英文关键词:Key Words: Maintenance hemodialysis End-stage renal disease Dyadic coping Influencing factors Self-efficacy |
| 基金项目:2021年上海市第十人民医院专科护理人才项目（SYZKHLRC—C19） |
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| 中文摘要: |
| 目的 探讨维持性血液透析患者二元应对现状并分析其影响因素。方法 便利选取2021年12月至 2022年 2月在上海市第十人民医院血液净化中心行维持性血液透析的 171例患者作为研究对象，采用一般资料调查表、二元应对量表、慢性病自我效能量表进行调查，采用单因素分析、相关分析和多元线性回归分析维持性血液透析患者二元应对的影响因素。结果 维持性血液透析患者二元应对总分为（127.36±17.97）分，自我效能得分为（6.87±2.17）分，二者呈正相关（r=0.542，P<0.01）；多元线性回归显示，性别、配偶有无重大疾病（如恶性肿瘤、严重心脑血管疾病等）、家庭人均月收入、居住情况、尿素清除指数（Kt/V）、自我效能是维持性血液透析患者二元应对的影响因素（P<0.05）。结论 维持性血液透析患者二元应对处于中等水平，临床工作中可从提高自我效能及透析充分性为切入点，制订针对性干预措施和健康宣教内容，以改善患者的二元应对现状。 |
| 英文摘要: |
| Objective To investigate the status of dyadic coping in maintenance hemodialysis patients, analyze its influencing factors. Methods It was convenient to select 171 patients who underwent maintenance hemodialysis at the Blood Purification Center of Shanghai Tenth People's Hospital from December 2021 to February 2022 as the research subjects, and the general data questionnaire, Dyadic Coping Inventory, and chronic disease self-efficacy energy scale were used to investigate, and univariate analysis, correlation analysis and multiple linear regression were used to analyze the influencing factors of dyadic coping of maintenance hemodialysis patients. Results The total score of dyadic coping in maintenance hemodialysis patients was (127.36±17.97) points, and the total score of self-efficacy was (6.87±2.17) points, and the two were positively correlated (r=0.542, P<0.01); Gender, whether the spouse has a major disease or not(such as malignant tumor, a serious disease of heart head blood-vessel, etc), the per capita monthly income of the family, living conditions, Urea clearance index (Kt/V), and self-efficacy were the influencing factors (P<0.05). Conclusion The dyadic coping in maintenance hemodialysis patients is at a moderate level and needs to be improved.When clinical nurses formulate intervention measures and implement health education, they should focus on improving the patient's self-efficacy level, and guide patients to communicate with their spouses in a reasonable way, so as to improve their dyadic coping status. |
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