慢性肾病患者对延续护理的认知及需求研究

目的：了解慢性肾病（CKD）患者对延续护理的认知和需求情况。方法采用分层随机抽样方法，抽取2014年3～6月在3所综合性医院肾病内科治疗的 CKD 患者共200例；采用自制问卷调查其对连续护理的认知及其需求情况。结果发放问卷200份，回收184份，有效率92％。（1）认知情况：10．32％的患者知道延续护理含义，9．24％的患者知道 CKD 患者需要哪些延续护理，12．50％患者知道 CKD 治疗的重要性。（2）需求情况：65．76％～95．11％ CKD 患者对疾病治疗相关知识、个体化饮食指导、定期电话随访、免费健康咨询、固定随访护士持需要、很需要、迫切需要态度；38．04％～53．26％对个体化饮食指导、免费健康咨询、固定随访护士方面有着迫切的需求；28．89％的患者对建立个人健康档案持需要、很需要、迫切需要态度。结论 CKD 患者对延续护理的认知度较低，对延续护理的需求较高，医院应积极开展适应本土化的延续护理服务。

Research on cognitive and demand of chronic kidney disease patients to continuing nursing

Objective To understand information on cognitive and demand of chronic kidney disease(CKD) patient to contin‐uing nursing .Methods Adopting stratified random sampling method took samples 200 CKD patiens who were treated at kidney disease of internal of general hospital form March to June 2014 .Self‐made questionnaire was used to survey cognitive and demand of chronic kidney disease patient to continuing nursing .Results Totally 200 questionnaires were gave out and 184 of them were taken back ,efficient rate is 92% .First ,cognition :10 .32% CKD patiens knew the meaning of continuing nursing ,9 .24% CKD patiens knew the content of continuing nursing ,12 .50% CKD patiens knew the role of continuing nursing .Second ,demand :65 .76% -95 .11% CKD patiens had demand on disease treatment knowledge ,individual diet guidance ,regular telephone follow‐up ,and regular follow‐up nurse ;38 .04% - 53 .26% CKD patiens had urgent demand on individual diet guidance ,free health consultation ,and regu‐lar follow‐up nurse ;28 .89% CKD patiens had demand on electronic health record .Conclusion The cognitive of CKD patiens to continuing nursing is low and the demand is high .Hospital should to actively develop the continuation of local nursing service .