Investigation of disease acceptance level and analysis of its influencing factors in hemodialysis patients with diabetic nephropathy
Objective To investigate the level of disease acceptance and its influencing factors in hemo-dialysis(HD)patients with diabetic nephropathy.Methods A total of 124 patients with diabetes nephropathy who underwent HD treatment in the hemodialysis room of the hospital from June 2021 to July 2023 were se-lected as the research objects.The general information questionnaire,the Disease Acceptance Scale(AIS),the Social Support Rating Scale(SSRS),and the Chronic Disease Self-Efficacy Scale(SECD6)were used to con-duct a questionnaire survey to investigate the current status of disease acceptance level and its influencing fac-tors in hemodialysis patients with diabetic nephropathy.Results The total score of AIS in patients with dia-betic nephropathy HD was(18.30±4.11)points,which was at a low level.Univariate analysis showed that the family per capita monthly income and dialysis age of HD patients with diabetic nephropathy were related to their disease acceptance level,and the difference was statistically significant(P＜0.05).The age of patients with diabetic nephropathy HD,whether combined with other chronic diseases,whether in-service,and educa-tion level were not related to the level of disease acceptance,and the difference was not statistically significant(P＞0.05).Pearson analysis showed that the scores of each dimension and total score of social support and self-efficacy in HD patients with diabetic nephropathy were positively correlated with disease acceptance(P＜0.05).Multivariate linear analysis showed that gender,family per capita monthly income,dialysis age,social support and self-efficacy were all risk factors affecting the level of disease acceptance in patients with diabetic nephropathy HD(P＜0.05).Conclusion The level of disease acceptance in patients with diabetic nephropa-thy HD is low,which is the result of multiple factors.Clinically,corresponding intervention measures can be formulated for each influencing factor to improve the patient's disease acceptance.
万方数据
维普
