中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
11期
60-64
,共5页
终末期肾脏疾病%腹膜透析%血液透析
終末期腎髒疾病%腹膜透析%血液透析
종말기신장질병%복막투석%혈액투석
End-stage renal disease%Peritoneal dialysis%Hemodialysis
目的：探讨终末期肾脏疾病患者选择腹膜透析的影响因素。方法采用横断面研究设计，应用结构式调查问卷对规律透析的135例终末期肾脏疾病患者(包括血液透析和腹膜透析)进行调查。应用Logistic 回归分析推断患者选择腹膜透析的主要影响因素。结果单因素Logistic回归分析发现，患者年龄、职业状态、参加“透析教育日”、自理能力、透析模式知识、安全性考虑、医护人员决定、家庭支持对其选择腹膜透析的影响差异有统计学意义(P<0.05)。多因素Logistic回归分析控制混杂因素后结果表明，患者自理能力和安全性考虑对其选择腹膜透析的影响差异有高度统计学意义(P<0.01)。结论终末期肾脏疾病患者的自理能力和安全性考虑是其选择腹膜透析的主要影响因素。
目的：探討終末期腎髒疾病患者選擇腹膜透析的影響因素。方法採用橫斷麵研究設計，應用結構式調查問捲對規律透析的135例終末期腎髒疾病患者(包括血液透析和腹膜透析)進行調查。應用Logistic 迴歸分析推斷患者選擇腹膜透析的主要影響因素。結果單因素Logistic迴歸分析髮現，患者年齡、職業狀態、參加“透析教育日”、自理能力、透析模式知識、安全性攷慮、醫護人員決定、傢庭支持對其選擇腹膜透析的影響差異有統計學意義(P<0.05)。多因素Logistic迴歸分析控製混雜因素後結果錶明，患者自理能力和安全性攷慮對其選擇腹膜透析的影響差異有高度統計學意義(P<0.01)。結論終末期腎髒疾病患者的自理能力和安全性攷慮是其選擇腹膜透析的主要影響因素。
목적：탐토종말기신장질병환자선택복막투석적영향인소。방법채용횡단면연구설계，응용결구식조사문권대규률투석적135례종말기신장질병환자(포괄혈액투석화복막투석)진행조사。응용Logistic 회귀분석추단환자선택복막투석적주요영향인소。결과단인소Logistic회귀분석발현，환자년령、직업상태、삼가“투석교육일”、자리능력、투석모식지식、안전성고필、의호인원결정、가정지지대기선택복막투석적영향차이유통계학의의(P<0.05)。다인소Logistic회귀분석공제혼잡인소후결과표명，환자자리능력화안전성고필대기선택복막투석적영향차이유고도통계학의의(P<0.01)。결론종말기신장질병환자적자리능력화안전성고필시기선택복막투석적주요영향인소。
Objective To investigate the factors affecting peritoneal dialysis chosen for the patients with end-stage renal disease (ESRD). Methods The structured questionnaire with the cross-sectional design was used. 135 cases of patients with ESRD of regular dialysis (including hemodialysis and peritoneal dialysis) were investigated. The Logistic regression analysis was applied to infer the main factors affecting the peritoneal dialysis chosen. Results Single-factor Logistic regression analysis showed that age, occupation type, educational day attendance, self-care ability, know-how of dialysis modality, security considerations, decisions made by medical personnel, and family support had statistical significance influence for peritoneal dialysis chosen (P<0.05). Multinomial Logistic regression analysis after adjustment for interfering variables showed that self-care ability and security considerations had statistical significance influence for peritoneal dialysis chosen (P< 0.01). Conclusion Self-care ability and security considerations of the patients with ESRD are the main factors affecting the patients' choice of peritoneal dialysis.
