维持性血液透析患者社会疏离感现状及影响因素研究
Social alienation and its influencing factors among patients undergoing maintenance hemodialysis
徐滢佳 1谢松洪 2卢燕 1石小妍 1赵映 1黄菲1
作者信息
- 1. 湖北医药学院护理学院(湖北十堰,442000)
- 2. 湖北医药学院护理学院(湖北十堰,442000);自贡市第一人民医院
- 折叠
摘要
目的 了解维持性血液透析患者社会疏离现状并分析其影响因素.方法 便利选取249例维持性血液透析患者为研究对象,采用一般资料调查表、社会影响量表、家庭关怀量表、疾病接受度量表及一般疏离感量表进行调查.结果 维持性血液透析患者社会疏离感得分(37.83±9.83)分;多元线性回归分析结果显示,年龄、子女个数、婚姻状况、医疗费用支付方式、透析龄、歧视知觉总分、疾病接受度总分与家庭关怀度总分进入回归方程,可解释维持性血液透析患者社会疏离感57.60%的变异.结论 维持性血液透析患者社会疏离感处于中等偏上水平,医护人员可通过降低其歧视知觉水平、增加其疾病接受度和家庭关怀度,从而减轻患者社会疏离感水平.
Abstract
Objective To understand the status of social alienation in patients undergoing maintenance hemodialysis,and analyze its influencing factors.Methods A total of 249 patients undergoing maintenance hemodialysis were selected by convenience sampling method,then they were investigated by utilizing a general information questionnaire,the Social Impact Scale(SIS),the Family APGAR Index(APGAR),the Acceptance of Illness Scale(AIS)and the General Alienation Scale(GAS).Results The partici-pants'score of the GAS was(37.83±9.83).Multiple linear regression analysis showed that,age,number of children,marital sta-tus,medical payment,years of dialysis,the total score of the SIS,the AIS,and the APGAR were influencing factors of social alienation in patients undergoing maintenance hemodialysis(all P<0.05),which explained 57.60%of the total variance.Conclu-sion The social alienation of patients undergoing maintenance hemodialysis is at a medium and above level,medical staff can reduce their social alienation via relieving their discrimination perception and increasing their disease acceptance and family care.
关键词
维持性血液透析/社会疏离感/歧视知觉/疾病接受度/家庭关怀Key words
maintenance hemodialysis/social alienation/perception of discrimination/acceptance of disease/family care引用本文复制引用
基金项目
湖北医药学院人才启动金资助计划(2018)(2018QDJRW13)
湖北省教育厅哲学社会科学研究青年项目(2020)(20Q112)
出版年
2024