【摘要】：目的本研究主要描述農(nóng)村腹膜透析患者社會功能現(xiàn)況,探討影響患者社會功能的因素,為開展農(nóng)村腹膜透析患者社會功能干預(yù)性研究提供理論依據(jù)。方法選取2015年11月~2016年12月鄭州大學(xué)第一附屬醫(yī)院腎內(nèi)科腹膜透析中心的農(nóng)村腹膜透析患者299例為研究對象,采用一般資料調(diào)查表、社會功能缺陷篩選表、家庭關(guān)懷度指數(shù)問卷、社會支持評定量表、醫(yī)院焦慮和抑郁量表及醫(yī)學(xué)應(yīng)對方式問卷對研究對象進(jìn)行調(diào)查,統(tǒng)計學(xué)處理采用SPSS 21.0統(tǒng)計軟件,運用單因素分析及多元線性回歸分析等統(tǒng)計方法進(jìn)行統(tǒng)計分析,描述農(nóng)村腹膜透析患者社會功能現(xiàn)況并分析其影響因素。結(jié)果1.發(fā)放問卷299例,回收有效問卷292份,有效回收率97.65%。本次研究對象年齡最小16歲,最大78歲,平均年齡(42.18±11.98)歲;男156例(53.42%),女136例(46.58%);文化程度方面,初中及以下學(xué)歷患者216例(73.98%);血紅蛋白≥100g/L的患者120例(41.09%);血漿白蛋白≥35g/L的患者128例(43.84%)。2.本組農(nóng)村腹膜透析患者社會功能評分為(4.73±2.16)分,≥2分(存在社會功能缺陷)者248例,占84.93%。3.單因素分析結(jié)果顯示,不同性別、婚姻狀況、文化程度、透析模式、不同血紅蛋白、血漿白蛋白、每周總Kt/V值及每周總Ccr值分組在農(nóng)村腹膜透析患者社會功能評分上差異無統(tǒng)計學(xué)意義(t=-1.816,P=0.070;t=0.351,P=0.728;F=0.399,P=0.754;t=1.282,P=0.201;t=-1.626,P=0.089;t=0.050,P=0.960;t=-1.483,P=0.139;t=-1.487,P=0.138);不同年齡、職業(yè)狀況、職業(yè)類型、付費方式、家庭人均月收入、透析齡、原發(fā)性疾病及腹膜類型在農(nóng)村腹膜透析患者社會功能評分上差異有統(tǒng)計學(xué)意義(t=-9.317,P0.001;t=-2.181,P=0.033;t=3.003,P=0.003;t=2.815,P=0.005;F=15.135,P0.001;F=4.795,P=0.003;F=6.396,P0.001;F=8.156,P0.001)�；乇軕�(yīng)對、屈服應(yīng)對、焦慮、抑郁與農(nóng)村腹膜透析患者社會功能呈正相關(guān)(r=0.482,P0.001;r=0.629,P0.001;r=0.283,P0.001;r=0.692,P0.001);家庭功能總分、社會支持總分、主觀社會支持、對支持的利用度、面對應(yīng)對與農(nóng)村腹膜透析患者社會功能呈負(fù)相關(guān)(r=-0.614,P0.001;r=-0.238,P0.001;r=-0.141,P=0.034;r=-0.557,P0.001;r=-0.542,P0.001)。4.多元線性回歸分析結(jié)果顯示,影響農(nóng)村腹膜透析患者社會功能的因素中有7個變量進(jìn)入回歸方程,分別為家庭功能、抑郁、主觀社會支持、屈服、面對、家庭人均月收入、年齡。采用方差分析進(jìn)一步檢驗回歸方程的模型,結(jié)果表明所建立的回歸方程模型具有統(tǒng)計學(xué)意義(F=57.506,P0.001)。結(jié)論1.農(nóng)村腹膜透析患者的社會功能較差,社會功能缺陷發(fā)生率較高。2.家庭功能、抑郁、主觀社會支持、屈服、面對、家庭人均月收入及年齡是影響農(nóng)村腹膜透析患者的社會功能的因素。
[Abstract]:Objective this study mainly describes the social function of rural peritoneal dialysis patients, and discusses the factors that affect the social function of rural peritoneal dialysis patients, and provides a theoretical basis for the study of social function intervention of rural peritoneal dialysis patients. Methods from November 2015 to December 2016, 299 rural peritoneal dialysis patients in the peritoneal dialysis center of Department of Renal Medicine, the first affiliated Hospital of Zhengzhou University, were selected as the study subjects. The general information questionnaire and the screening table for social dysfunction were used. Family care index questionnaire, social support rating scale, hospital anxiety and depression scale and medical coping style questionnaire were used to investigate the subjects. The statistical processing was conducted with SPSS 21. 0 statistical software. Univariate analysis and multiple linear regression analysis were used to analyze the social function of rural peritoneal dialysis patients. Result 1. 299 questionnaires were sent out, 292 valid questionnaires were collected, and the effective recovery rate was 97.65. The average age of the subjects was (42.18 鹵11.98) years, 156 males (53.42%) and 136 females (46.58%), 216 (73.98%) with junior high school education and below, 120 (41.09%) with hemoglobin 鈮，

本文編號：2217081