摘要
目的 调查持续不卧床腹膜透析(continuous ambulatory peritoneal dialysis,CAPD)患者授权能力现状并分析其影响因素.方法 采用便利抽样法,于2022年1月-2023年2月选取安徽中医药大学第一附属医院的323例CAPD患者为调查对象.采用一般资料调查表、腹膜透析简化授权量表及肾脏病生活质量量表进行横断面调查,多元逐步回归分析CAPD患者授权能力的影响因素.结果 323例CAPD患者腹膜透析简化授权量表得分为(21.82±3.26)分,多元逐步回归分析结果显示年龄(β=-1.543,P=0.030)、文化程度(β=2.631,P=0.012)、就业状态(β=-3.021,P＜0.001)、主要照顾者(β=-3.301,P＜0.001)、透析龄(β=2.498,P＜0.001)、24小时超滤量(β=1.373,P=O.004)、主要并发症(β=-2.440,P＜0.001)、生活质量(β=1.527,P＜0.001)影响患者的授权能力水平,可解释总体变异度的62.0％.结论 CAPD患者授权能力水平有待提高,对于高龄、文化程度低、无业、主要照顾者为非家庭成员、低透析龄及超滤量、发生透析相关性腹膜炎的患者,应当引起医护人员重视,采用积极有效的干预措施提高授权能力水平,使患者主动参与管理疾病.
Abstract
Objective To investigate the current status and its influencing factors of empowerment in patients with continuous ambulatory peritoneal dialysis(CAPD).Methods A total 323 CAPD patients treat-ed in the First Affiliated Hospital of Anhui University of Chinese Medicine from January 2022 to February 2023 were selected as the research subjects using convenience sampling method.General information ques-tionnaire,the Simplified Peritoneal Dialysis Empowerment Scale,and Kidney Disease Quality of Life Scale were used to carry on the cross-sectional survey.Multivariate stepwise regression was used to analyze the in-fluence factors for empowerment ability in CAPD patients.Results The score of the Simplified Peritoneal Dialysis Empowerment Scale in the 323 CAPD patients was 21.82±3.26.Multivariate stepwise regression showed that age(β=-1.543,P=0.030),education level(β=2.631,P=0.012),employment status(β=-3.021,P＜0.001),the main caregiver(β=-3.301,P＜0.001),dialysis age(β=2.498,P＜0.001),24h ultrafiltration volume(β=1.373,P=0.004),major complications(β=-2.440,P＜0.001),and the quality of life(β=1.527,P＜0.001)were the factors influencing empowerment ability in CAPD patients,and 62.0％of the total variation were ex-plainable.Conclusions The empowerment ability needs to be improved in CAPD patients.Medical staff are required to adopt effective intervention measures to improve their empowerment ability and to help them ac-tively manage the disease themselves,especially for those with older age,low education level,unemployment,non-family members as the main caregivers,low dialysis age,low ultrafiltration volume,and dialysis related peritonitis.
NETL
NSTL
维普
万方数据