摘要
目的 探讨乌鲁木齐300例维持性血透析(MHD)患者的病耻感现状及影响因素.方法 2021年1月至12月,采用分层多阶段整群随机抽样方法,抽取乌鲁木齐3个区,每个区随机抽取1家医院,共计选择3家医院,纳入符合条件的MHD患者100例,共计选取300例患者为研究对象,分析MHD患者的病耻感现状及影响因素.结果 乌鲁木齐MHD患者的病耻感总分为(56.89±6.39)分;多因素分析显示:文化程度高、透析时间长、家庭人均月收入低、合并其他慢性疾病、述情障碍重、正念水平低是影响MHD患者的病耻感的高危因素(P<0.05).结论 乌鲁木齐MHD患者病耻感处于中等水平,其受文化程度、透析时间、家庭人均月收入、合并其他慢性疾病、述情障碍重、正念水平的影响.
Abstract
Objective To investigate the stigma status and the influencing factors of 300 patients with maintenance blood dialysis(MHD)in Urumqi.Methods From January to December 2021,the stratified multi-stage cluster random sampling method was used to select 3 districts in Urumqi,each district randomly selected 1 hospital,a total of 3 hospitals were selected,100 eligible MHD patients were included.A total of 300 patients were selected as the research objects,and the status quo of stigma and influencing factors of MHD patients were analyzed.Results The total score of stigma among MHD patients in Urumqi was(56.89±6.39)points.Multivariate analysis showed that high education,long dialysis time,low per capita monthly income,combined with other chronic diseases,alexi-thymia,and low mindfulness were high risk factors affecting stigma in MHD patients(P<0.05).Conclusion MHD patients are affected by educational level,dialysis time,per capita monthly income,other chronic diseases,alexithymia,and mindfulness level in Urumqi.