维持性血液透析患者社会疏离感的调查研究

目的 了解维持性血液透析患者的社会疏离感水平现状，探讨其影响因素，为医护人员制定护理对策提供参考。方法 采用一般资料调查表、一般疏离感量表对310例维持性血液透析患者进行调查。结果 维持性血液透析患者社会疏离感得分为(44.75±5.62)分。多元线性回归分析显示，年龄、文化程度、婚姻状况、在职情况、家庭居住地、病程、疾病复发次数、血液透析时长、血液透析频次、合并慢性病、是否清楚了解血液透析知识为社会疏离感的影响因素(均P<0.05)。结论 维持性血液透析患者社会疏离感程度较严重，医护人员可根据影响因素制定针对性干预策略，以降低患者的社会疏离感程度，促进其回归社会。

A study of social alienation in maintenance hemodialysis patients

Objective To understand the current level of social alienation in maintenance hemodialysis patients, explore its influencing factors, and provide reference for medical staff to formulate nursing strategies. Methods A survey was conducted on 310 maintenance hemodialysis patients using a general information questionnaire and the General Sense of Alienation Scale. Results The social alienation score among maintenance hemodialysis patients was (44.75 ± 5.62). Multiple linear regression analysis showed that age, education level, marital status, employment status, family residence, course of disease, frequency of disease recurrence, duration of hemodialysis, frequency of hemodialysis, chronic comorbidities, and whether having deep knowledge of hemodialysis were the influencing factors for social alienation (all P.<0.05). Conclusion The degree of social alienation in maintenance hemodialysis patients is relatively severe. Medical staff can develop targeted intervention strategies based on influencing factors to reduce the degree of social alienation in maintenance hemodialysis patients and promote their return to society.