首页|老年维持性血液透析患者饮食健康信念现状及影响因素分析

老年维持性血液透析患者饮食健康信念现状及影响因素分析

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目的 了解老年维持性血液透析患者饮食健康信念现状并分析其影响因素,为临床制定预见性护理干预措施提供参考.方法 以便利抽样法抽取老年维持性血液透析患者230例,采用一般资料调查表、血液透析患者饮食健康信念问卷、患者积极度量表和简易疾病感知问卷进行调查.结果 老年维持性血液透析患者饮食健康信念得分为(76.65±14.81)分;饮食健康信念得分与 自我管理积极度评分呈正相关,与疾病感知得分呈负相关(均P<0.05).多元线性回归分析显示,性别、文化程度、自我管理积极度和疾病感知是老年维持性血液透析患者饮食健康信念的影响因素(均P<0.05),共解释总变异量的63.20%.结论 老年维持性血液透析患者的饮食健康信念处于中等水平,受多方面因素的影响.医护人员应积极采取预见性护理干预,给予患者更多的信息支持,提高其饮食健康信念水平.
Dietary health belief and its influencing factors in elderly maintenance hemodialysis patients
Objective To understand the status quo of dietary health belief in elderly maintenance hemodialysis patients and analyze its influencing factors,so as to provide a reference for clinical formulation of preventive nursing interventions.Methods A total of 230 elderly maintenance hemodialysis patients were selected by convenience sampling method,then they were investigated by utili-zing a general information questionnaire,the Hemodialysis Patients'Dietary Health Belief Questionnaire,the Patient Activation Measure and the Brief Illness Perception Questionnaire.Results The score of dietary health belief in the participants was(76.65± 14.81).The score of dietary health belief was positively correlated with the score of self-management activation,and negatively correlated with the score of illness perception(both P<0.05).Multiple linear regression analysis showed that,gender,educational background,self-management activation and illness perception were the influencing factors of dietary health belief in elderly maintenance hemodialysis patients(all P<0.05),which explained 63.20%of the total variance.Conclusion The dietary health belief in elderly maintenance hemodialysis patients is at a medium level,and it is influenced by many factors.Medical staff should take preventive nursing intervention measures,give patients more information support,and improve their dietary health be-lief level.

the elderlymaintenance hemodialysisdietary health beliefself-management activationillness perception

吴国凤、钟美容、钟静静、程树锦、陈岩、卢秋芳、李艳萍、孙瑞

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广西中医药大学护理学院(广西 南宁,530001)

广西中医药大学附属瑞康医院护理部

广西中医药大学附属瑞康医院血液净化中心

老年人 维持性血液透析 饮食健康信念 自我管理积极度 疾病感知

广西医疗卫生适宜技术开发与推广应用项目广西壮族自治区卫生健康委员会自筹经费科研课题

S2022057Z-A20220913

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(2)
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