112例老年糖尿病肾病血液透析患者家庭关怀度现状及其影响因素研究.pdfVIP

老年护理专题 Topical Issues 112例老年糖尿病肾病血液透析患者家庭 关怀度现状及其影响因素研究 赵袁圆 王毅 林萍 张秀敏 [ 摘 要] 目的：调查老年糖尿病肾病血液透析患者家庭关怀度指数，并分析家庭关怀度的影响因素。方法： 采用自行设计的一般资料调查表和家庭关怀度指数问卷，对112 名老年糖尿病肾病血液透析患者进行调查；采用 多元线性回归方法分析老年糖尿病肾病血液透析患者家庭关怀度的影响因素。结果：有45 名（40.18%）患者对 家庭功能自我评价良好；67名（59.82%）患者家庭关怀呈中度或重度障碍；回归分析显示，患者的年龄、透析年 限和糖尿病病程影响老年糖尿病肾病血液透析患者家庭关怀度。结论：糖尿病肾病患者家庭关怀度指数得分较低， 患者的年龄、透析年限和糖尿病病程影响糖尿病肾病患者家庭关怀度。 [ 关键词 ] 糖尿病肾病；血液透析；家庭关怀度 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.04.015 Family care status of 112 senile diabetic nephropathy patients with hemodialysis and its influencing factors / ZHAO Yuanyuan, WANG Yi, LIN Ping, ZHANG Xiumin // Nanguan District Health Supervision Bureau, Changchun, 130000 China /// Chinese Nursing Management-2016,16(4): 488-491 [Abstract] Objective: To investigate family care status in the elderly diabetic nephropathy patients with hemodialysis, and analyze the influencing factors. Methods: The Family Care Index (FCI) questionnaire was used in this survey. Totally 112 cases were included in this study. Results: Fourty five (40.18%) patients thought their families had good functioning, and 59.82% of the patients reported their family care had moderate or severe disorders. Patients age, dialysis years and diabetes duration entered into the regression equation. Conclusion: Diabetic nephropathy patients had low FCI scores. Patients age, dialysis years and diabetes duration were correlated with FCI. [Keywords] diabetic nephropathy; hemodialysis; family care 糖尿病肾病是由于血糖升高长期 并逐步推广至全科医学中的家庭治疗 肾炎等引起的非糖尿病尿微量白蛋白 得不到有效控制，导致微血管病变和 指导工作。本研究调查了老年糖尿病 增多而导致肾功能衰竭者 [6] ；②非长 肾小球功能障碍，是糖尿病患者死亡 肾病血液透析患者的家庭关怀度，并 春市常住居民。 的主要原因。血液透析是终末期糖尿 分析患者家庭关怀度的影响因素，为 1.2 研究方法 病肾病患者有效的治疗手段 [1] ，也是 采取有针对性的措施，改善患