血液透析患者液体摄入依从性与影响因素的研究

目的了解血液透析(HD)患者液体摄入的依从水平及其影响因素。方法采用问卷和人体测量学指标对246例门诊HD患者进行调查。结果HD患者液体摄入不依从率为54.5%。不同控制液体摄入的意向、HD年数、残余尿量、年龄、经济状况、尿毒症病程、抑郁水平、知识水平及有否服用泻药的HD患者,其依从性比较差异有显著性(P<0.05)。Logistic回归分析结果得到6个有统计学意义的影响因素,以回归系数的大小依次为控制液体摄入的意向、HD年数、服用泻药、残余尿量、年龄和知识水平。结论提高HD患者液体摄入的依从性是临床护理干预的重点,通过健康教育,帮助患者建立控制液体摄入行为的信念,有利于疾病的治疗与康复。

Study on Compliance to Fluid Intake in Hemodialysis Patients and the Influencing Factors

Objective To study the compliance to fluid adherence in hemodialysis(HD)patients and its influencing factors.Methods Two hundred and fortysix hemodialysis outpatients were investigated by questionnaires and anthropometric indices.Results Non-compliance rate was 54.5%.There were statistically significant differences in fluid compliance among patients with different fluid control intent,years of HD,residual urine,age,financial status,course of uremia,depression level,knowledge level,and use of cathartic or not(P<0.05).Logistic regression model analysis showed that 6 influening factors had statistically significant differences(P<0.05).They were fluid control intent,years of HD,using cathartic or not,residual urine,ages and knowledgelevel according to regression coefficient.Conclusion Emphasis of clinical nursing intervention is to improve fluid compliance in HD patients.Patients should be educated to build up the confidence of fluldcontrol and realize it is useful to treatment and end recovery.