CAJ | 학술논문

目的：探讨新疆地区维汉维持性血液透析患者的自我管理现状及其影响因素，为指导健康教育提供资料。方法随机抽取2011年10月至2013年3月来我科行血液透析的维汉患者124例，采用自我管理问卷对其进行调查，对其管理现状及影响因素进行研究。结果汉族比维吾尔族血液透析患者在日常生活管理维度、认知意识管理维度的得分要高（P＜0.05）。维吾尔族血液透析患者在社会心理管理维度得分要高于汉族（P＜0.05）。汉族总分高于维吾尔族（ P＜0.05）。汉族血液透析患者的影响因素包括文化程度、年龄、医保类型、焦虑程度及病程；而影响维吾尔族血液透析患者的自我管理水平的因素为文化程度、医保类型、家属支持度及病程。结论应加强对低学历、自费、病程较短以及存在焦虑状态汉族患者的健康教育，加强低学历、自费、家庭支持度较差以及病程短的维吾尔族患者的健康教育，从而达到提高患者的生活质量和长期存活率的目的。
목적：탐토신강지구유한유지성혈액투석환자적자아관리현상급기영향인소，위지도건강교육제공자료。방법수궤추취2011년10월지2013년3월래아과행혈액투석적유한환자124례，채용자아관리문권대기진행조사，대기관리현상급영향인소진행연구。결과한족비유오이족혈액투석환자재일상생활관리유도、인지의식관리유도적득분요고（P＜0.05）。유오이족혈액투석환자재사회심리관리유도득분요고우한족（P＜0.05）。한족총분고우유오이족（ P＜0.05）。한족혈액투석환자적영향인소포괄문화정도、년령、의보류형、초필정도급병정；이영향유오이족혈액투석환자적자아관리수평적인소위문화정도、의보류형、가속지지도급병정。결론응가강대저학력、자비、병정교단이급존재초필상태한족환자적건강교육，가강저학력、자비、가정지지도교차이급병정단적유오이족환자적건강교육，종이체도제고환자적생활질량화장기존활솔적목적。
Objective To explore the self management situations and influence factors in maintenance hemodi-alysis patients between Uyghur and Han ethnic in Xinjiang area, to provide information for health education.Methods From March 2011 to October 2013, 124 patients in our department were selected, and analyzed with self management situations and influence factors after using questionnaire to investigation.Results Han ethnic in daily life management dimension and cognitive awareness management dimension scored higher than Uyghur ethnic patients ( P<0.05) .Uy-ghur patients in social psychology dimension scored higher than Han ethnic (P<0.05) .In total score, Han ethnic were high than Uyghur ethnic ( P<0.05) .Influence factors of Han ethnic patients included education degree , age, type of medical insurance, anxiety status, and length of disease; influence factor for Uyghur patients were education degrees, type of medical insurance, family support effect, and length of disease.Conclusions We should strengthen health edu-cation of the low education, no medical coverage, short in disease term, and anxiety patients in Han ethnic, we should take more attention to family support rate are good, and short in disease term, in Uyghur ethnic, only do that we can a-chieve a goal to improve quality of life, and long term survival rate.