CAJ | 학술논문

【目的】采用自评方式评估腹膜透析患者的依从性、分析依从性相关因素以及与患者预后的相关性。【方法】对腹膜透析患者的饮食、液体、药物及腹膜透析治疗方案的依从性采用自评方式进行评估，同时分析依从性相关因素以及对患者预后的影响。【结果】共有94例患者参加自评。患者对药物和治疗方案依从性好的患者分别达到78．73％和82．98％，而对饮食和液体的依从性好的患者仅有56．39％和61．63％。年龄、受教育程度、是否仍从事工作、腹膜透析操作方式以及腹透时间对依从性有影响。而且依从性好组患者的住院率明显低于依从性坏组（ P ＜0．001），但两组腹膜炎发生率相比较差异无统计学意义（ P ＝0．328）。【结论】自评方式可以做为依从性评估的有效方法，腹膜透析患者对饮食、液体、药物及腹膜透析治疗方案依从性不同，受多种因素影响，且依从性与患者预后相关。应定期对患者采取自评方式评估依从性，针对不同人群进行个体化宣教，采取有效干预措施提高患者依从性，进而改善患者预后。
【목적】채용자평방식평고복막투석환자적의종성、분석의종성상관인소이급여환자예후적상관성。【방법】대복막투석환자적음식、액체、약물급복막투석치료방안적의종성채용자평방식진행평고，동시분석의종성상관인소이급대환자예후적영향。【결과】공유94례환자삼가자평。환자대약물화치료방안의종성호적환자분별체도78．73％화82．98％，이대음식화액체적의종성호적환자부유56．39％화61．63％。년령、수교육정도、시부잉종사공작、복막투석조작방식이급복투시간대의종성유영향。이차의종성호조환자적주원솔명현저우의종성배조（ P ＜0．001），단량조복막염발생솔상비교차이무통계학의의（ P ＝0．328）。【결론】자평방식가이주위의종성평고적유효방법，복막투석환자대음식、액체、약물급복막투석치료방안의종성불동，수다충인소영향，차의종성여환자예후상관。응정기대환자채취자평방식평고의종성，침대불동인군진행개체화선교，채취유효간예조시제고환자의종성，진이개선환자예후。
[Objective] To evaluate the compliance by self‐reporting ,correlative factors and its correlation with outcomes among peritoneal dialysis (PD) patients .[Methods] The levels of compliance in four compo‐nents of therapeutic regimens ,i .e .fluid restriction ,medication and dialysis regimen ,were evaluated by self‐reporting .[Results] A total of 94 cases were enrolled .The compliance rates of medication and dialysis regi‐men were 78 .73% and 82 .98% respectively .However ,the compliances of diets and fluid restriction were only 56 .39% and 61 .63% respectively .Age ,education level ,employment status ,operation mode of PD and dura‐tion of PD affected the compliance .In relation to outcomes ,the incidence of hospitalization was higher in poor compliance group than that in good compliance group ( P<0 .001) .However ,no inter‐group difference exis‐ted in peritonitis rate ( P =0 .328) .[Conclusion] Self‐reporting may be a effective method of evaluating the compliance .The compliances of diets ,fluid restriction ,medication and dialysis regimen vary among PD pa‐tients .There are many influencing factors .Moreover ,the compliance is associated with outcomes .As a re‐sult ,we should evaluate compliance by self‐report regularly ,provide individualized counseling and take effec‐tive measures of improving so as to further improve the outcomes of PD patients .