腹膜透析患者自我管理行为及健康状况的相关性研究

目的 了解目前国内腹膜透析患者自我管理行为的状况和健康状况,探讨患者自我管理行为与其健康状况的关系.方法 采用问卷调查的方法,结合实验室检查,对151例腹膜透析患者的自我管理行为和健康状况进行调查,分析自我管理行为与健康状况的关系,提出提高患者自我管理行为的护理措施.结果 腹膜透析患者自我管理行为得分为（28.8±5.32）分,患者自我管理行为与其生理和心理的健康状况密切相关.自我管理行为与Karnofsky活动指数、白蛋白水平呈正相关（P〈0.01）,与躯体症状、舒张压、血磷和抑郁水平呈负相关（P〈0.01）.结论 腹膜透析患者自我管理行为与其生理和心理的健康状况密切相关,自我管理行为的提高,有助于健康状况的改善.

Study on the relationship between self-management behavior and health status of peritoneal dialysis patients

Objective To explore the status of self-management behavior and health among peritoneal dialysis patients and their relationship. Methods A total of 151 cases with peritoneal dialysis were investigated with questionnaire for their self-management behavior and health status, in order to analyze the relationship between them and propose the nursing measurements of improving the nursing measurements. Results The self-management behavior score for peritoneal dialysis patient was (28. 8±5. 32), their self-management behavior was correlated with physical and mental health. There showed pisitive correlation between self-management behavior and Kamofsky activity index, albumin levels ( P < 0. 01), while negtive correlation with somatic symptoms, diastolic blood pressure, blood phosphorus and the level of depression (P <0. 01). Conclusions Self management behaviors among peritoneal dialysis patients are closely related to their physical and mental health. The improvement of self management behavior is helpful to the improvement of health.