摘要
目的调查维持性血液透析(MHD)患者治疗依从性与反刍性沉思水平的相关性,并分析治疗依从性的影响因素。方法采用方便抽样法,选取2016年6月—2017年6月于郑州市第七人民医院行MHD的患者180例,根据MHD依从性判断标准分为依从性差组53例和依从性好组127例。收集两组的临床资料,采用中文版事件相关反刍性沉思问卷(ERRI)调查两组的反刍性沉思水平并比较。采用Spearman秩相关分析患者治疗依从性与反刍性沉思的相关性。采用Logistic回归分析患者治疗依从性的影响因素。结果依从性好组和依从性差组性别、年龄、受教育程度、家庭月收入、医保报销比例及透析时间比较,差异有统计学意义(P<0.05);依从性好组侵入性反刍性沉思评分低于依从性差组,目的性反刍性沉思评分和反刍性沉思总分高于依从性差组,差异均有统计学意义(P<0.05)。Spearman秩相关分析显示,治疗依从性与目的性反刍性沉思、反刍性沉思总分呈正相关,与侵入性反刍性沉思呈负相关(P<0.01);Logistic回归分析显示,性别、受教育程度、家庭月收入、透析时长及反刍性沉思水平是MHD患者治疗依从性的影响因素(P<0.01)。结论MHD患者治疗依从性与反刍性沉思水平存在相关性。护理工作者需有针对性地提高患者的目的性反刍性沉思、降低侵入性反刍性沉思水平,进而提高患者的治疗依从性,改善治疗效果,提高生活质量。
Objective To explore the correlation between treatment compliance and rumination among maintenance hemodialysis (MHD) patients and to analyze the influencing factors of treatment compliance.Methods From June 2016 to June 2017, we selected 180 MHD patients of the Seventh People's Hospital of Zhengzhou by convenience sampling. All of the patients were divided into poor compliance group (n=53) and good compliance group (n=127) according to the judgment criteria for MHD compliance. We collected clinical data of two groups and investigated the rumination of patients between two groups with the Chinese Version of Event Related Rumination Inventory (ERRI) . Spearman rank correlation was used to analyze the correlation between treatment compliance and rumination of patients. Besides, the Logistic regression was used to analyze the influencing factors of treatment compliance among patients.Results There were statistical differences in sexes, ages, educational status, family monthly earning, the ratio of medical reimbursement and time of dialysis between poor compliance group and good compliance group (P<0.05) . The score of intrusive rumination in good compliance group was lower than that in poor compliance group; the score of purposive rumination and total score of rumination in good compliance group were higher than those in in good compliance group, all with significant differences (P<0.05) . Spearman rank correlation analysis showed that treatment compliance was positively correlated with purposive rumination and total score of rumination and negatively correlated with intrusive rumination (P<0.01) . Logistic regression analysis indicated that the influencing factors of treatment compliance of MHD patients included sexes, educational status, family monthly earning, time of dialysis and level of rumination (P<0.01) .Conclusions There is a correlation between treatment compliance and rumination among maintenance hemodialysis MHD patients. Nurses should pertinently improve patients' purposive rumination and reduce intrus
作者
罗丽敏
黑小杰
朱丽萍
张靖华
Luo Limin;Hei Xiaojie;Zhu Liping;Zhang Jinghua(Blood Purification Room,the Seventh People's Hospital of Zhengzhou,Zhengzhou 450016,China)
出处
《中华现代护理杂志》
2018年第32期3913-3916,共4页
Chinese Journal of Modern Nursing
基金
2017河南省医学科技攻关计划(201702331).
