广州医药 ›› 2021, Vol. 52 ›› Issue (5): 57-63.DOI: 10.3969/j.issn.1000-8535.2021.05.012

• 论著 • 上一篇    下一篇

维持性血液透析患者症状负担及其影响因素的分析

耿梦雅1, 苏思敏1, 李倩1, 张俊娥2   

  1. 1 广州市海珠区中医医院血透科 (广州 510020);
    2 中山大学护理学院 (广州 510080)
  • 收稿日期:2021-03-05 出版日期:2021-09-20 发布日期:2021-11-24
  • 通讯作者: 张俊娥,E-mail:zhangje@mail.sysu.edu.cn
  • 基金资助:
    广东省中医药局科研项目(20212178)

The symptom burden in maintenance hemodialysis patients and its influencing factors

GENG Mengya1, SU Simin1, LI Qian1, ZHANG June2   

  1. 1 Department of Hemodialysis,Haizhu District Hospital of Traditional Chinese Medicine, Guangzhou 510020, China;
    2 Sun Yat-sen University School of Nursing ,Guangzhou 510080,China
  • Received:2021-03-05 Online:2021-09-20 Published:2021-11-24

摘要: 目的 探讨维持性血液透析患者症状负担的现状,并分析影响因素。方法 采用一般状况调查表、血液透析患者症状评估量表、慢性病自我效能量表对96名维持性血液透析患者进行调查。结果 维持性血液透析患者症状负担总得分为63.76±46.70,平均每位患者经历14.10±7.91个症状;其中自我效能、原发病、是否进行日常运动、碱性磷酸酶、血清钠是独立影响因素(P<0.05)。结论 根据影响因素采取针对性的干预措施,有望缓解患者的症状负担。

关键词: 维持性血液透析, 症状负担, 自我效能, 影响因素

Abstract: Objective To explore the symptom burden and evaluate the risk factors in maintenance hemodialysis patients.Methods A total of 96 patients were retrospectively investigated by Karnofsky Performance Status, dialysis symptom index and chronic disease self-efficacy scale.Results The total score of symptom burden in patients was 63.76±46.70. The average experienced symptoms were 14.10±7.91 per patient. The result by multiple regression analysis indicated that self-efficacy, the primary disease, daily exercises, the level of alkaline phosphatase and sodium in serum were independent risk factors for symptom burden in patients.Conclusion Tailored treatments based on risk factors for hemodialysis patients may relieve their symptom burden.

Key words: maintenance hemodialysis, symptom burden, self-efficacy, influencing factors