论文部分内容阅读
目的评估腹膜透析(PD)患者残障接受度,探讨相关影响因素。方法采用问卷调查的方式,选用自行设计的一般情况资料调查表和残障接受度量表对75例腹膜透析患者展开调查,并采用多元回归分析法探索腹膜透析患者残障接受度的影响因素。结果本组72例PD患者的残障接受度总分平均为(186.45±12.11)分,处于低度接受水平12例(16.7%),中度接受水平42例(58.3%),高度接受水平18例(25.0%);其中扩大维度平均为(58.06±10.31)分,服从维度平均为(18.56±9.45)分,控制维度平均为(49.08±13.27)分,转变维度平均为(57.35±12.51)分;本组72例患者服从维度表现较优,控制维度表现较差(P<0.01)。本组72例PD患者的残障接受度多因素Logistic回归分析发现,患者的性别、家庭收入、透析龄、抑郁程度与合并症是PD患者残障接受度的主要影响因素(P<0.01或0.05)。结论腹膜透析患者的残障接受度多处于中等接受水平,其受多因素影响,宜对患者开展个性化的心理干预。
Objective To evaluate the disability acceptance of peritoneal dialysis (PD) patients and explore the related factors. Methods A total of 75 cases of peritoneal dialysis patients were investigated by self-designed general information questionnaire and handicapped acceptability questionnaire. The influencing factors of disability acceptance in peritoneal dialysis patients were explored by multiple regression analysis. Results The total score of disability acceptance in 72 PD patients was (186.45 ± 12.11) points, 12 (16.7%) were in low acceptance level, 42 (58.3%) in moderate acceptance level and 18 (25.0%). The average dimension of enlarged dimension was (58.06 ± 10.31), the average dimension of obedience dimension was (18.56 ± 9.45), the control dimension average was (49.08 ± 13.27) and the transition dimension was (57.35 ± 12.51) The 72 patients in this group performed better than the obedience dimension, with poor control dimensions (P <0.01). Logistic regression analysis of multiple factors in the disability acceptance of 72 patients with PD showed that gender, family income, dialysis age, degree of depression and comorbidities were the major influencing factors of disability (P <0.01 or 0.05). Conclusion Peripheral dialysis patients with disability acceptance are mostly at medium acceptable levels, which are affected by many factors. Patients should be given personalized psychological intervention.