维持性血液透析患者的舒适状况及其影响因素

目的了解维持性血液透析患者的舒适状况及其影响因素。方法方便抽样法选择2010年1-7月南京军区福州总医院血液净化科95例血液透析患者,采用维持性血液透析患者舒适量表对其进行舒适状况的测评,并分析影响因素。结果本组维持性血液透析患者的整体舒适状况属于中等水平,生理维度舒适状况最差,其次是心理维度和社会维度,而环境维度舒适状况相对较好。年龄、家庭经济水平、透析频率、透析龄及血肌酐水平可影响维持性血液透析患者的舒适状况。结论临床护理人员应在护理过程中改善维持性血液透析患者生理不适、注重心理护理及加强社会支持,同时对年纪较轻、家庭经济状况较差、透析频率较少、透析龄较短及肾功能较差的患者给予更多的关注。

Comfort Status and Its Influencing Factors of Maintenance Hemodialysis Patients

Objective To comprehend the comfort status and its influencing factors of maintenance hemodialysis patients. Methods From January to July 2010,95 maintenance hemodialysis patients in the hospital were selected by convenience sampling to undergo an evaluation on their comfort status with comfort scale of maintenance hemodialysis patients. The influencing factors were analyzed accordingly. Results The overall comfort status of the maintenance hemodialysis patients was on moderate level. The comfort status of physical domain was in the worst condition, which was followed by those of psychological and social areas. However, the comfort status of the environment was in relatively good condition. Age, family economic level, frequency of dialysis, hemodialysis age and serum creatinine levels can affect the comfort of status in maintenance hemodialysis patients. Conclusion Clinical nurses should improve the physical discomfort in the nursing process of maintenance hemodialysis patients, focuse on the psychological care, strengthen social support and attach more attention upon the younger patients and patients with poor family economic status, less frequent dialysis, shorter time on dialysis and poor renal function.