血液透析患者控磷饮食依从性与疾病感知的相关性研究

doi:10.3969/j.issn.1006-5253.2022.04.005

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (2303 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的研究维持性血液透析患者控磷饮食依从性情况及其与疾病感知相关性，为临床制定相应的干预对策提供指导。方法选择2019年11月至2022年3月间于某医院接受维持性血液透析治疗的老年终末期肾病患者作为研究对象，采用终末期肾病患者维持性血液透析相关饮食依从性量表、简易疾病感知量表（the brief illness perception questionnaire, BIPQ）对患者的控磷饮食依从性及疾病感知状况实施分析，并经Pearson相关性分析法分析维持性血液透析患者控磷饮食依从性和疾病感知相关性。结果 284例行维持性血液透析治疗的老年终末期肾病患者中，控磷饮食依从性的总评分（48.45±2.16）分，其中71例（25.00%）控磷饮食依从性高，111例（39.08%）依从性中等，102例（35.92%）依从性低；维持性血液透析老年患者的疾病感知BIPQ量表总评分为（47.49±14.64）分；Pearson相关分析结果显示，维持性血液透析老年患者的控磷饮食依从性与疾病感知呈显著负相关（r=-0.879，P＜0.001）。结论维持性血液透析老年患者的控磷饮食依从性整体表现处于中等水平，且其控磷饮食的依从性和疾病感知呈负相关。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	金盈盈
	胡琴节
	黄佩佩
	胡旦翔

关键词 ：维持性血液透析, 控磷饮食, 依从性, 疾病感知, 相关性

Abstract：Objective To study the compliance of phosphorus control diet and its correlation with disease perception in elderly maintenance hemodialysis patients, and provide guidance for clinical intervention.Methods Elderly patients with end-stage renal disease who received maintenance hemodialysis in a hospital from November 2019 to march 2022 were selected as study objects. The Maintenance Hemodialysis-Related Dietary Compliance Scale and the Brief Illness Perception Questionnaire (BIPQ) in patients with endstage renal disease were used to analyze the patients′ compliance with phosphorus control diet and disease perception status. The Pearson correlation analysis method was used to analyze the correlation between phosphorus control diet compliance and disease perception in maintenance hemodialysis patients.Results The total score of dietary compliance with phosphorus control in 284 elderly patients with end-stage renal disease who underwent maintenance hemodialysis was (48.45±2.16) points, of which 71 cases (25.00%) had high compliance with phosphorus control diet, 111 cases (39.08%) had moderate compliance, and 102 cases (35.92%) had low compliance. The total score of disease perception BIPQ scale of elderly patients on maintenance hemodialysis was（47.49±14.64）points; the Pearson correlation analysis showed that the adherence to phosphorus control diet was significantly negatively correlated with disease perception in elderly patients on maintenance hemodialysis (r=-0.879, P＜0.001).Conclusion The overall compliance of phosphorus control diet in elderly patients on maintenance hemodialysis is at a moderate level, and the compliance of phosphorus control diet is negatively correlated with disease perception.

Key words： maintenance hemodialysis phosphorus control diet compliance disease perception correlation

收稿日期: 2022-05-12

通讯作者: 金盈盈，Email：jinyy25796@126.com

引用本文:

金盈盈，胡琴节，黄佩佩，胡旦翔. 血液透析患者控磷饮食依从性与疾病感知的相关性研究[J]. 中国医院统计, 2022, 29(4): 262-265.
Jin Yingying, Hu Qinjie, Huang Peipei, Hu Danxiang. Study on dietary compliance with phosphorus control in hemodialysis patients and its correlation with disease perception. journal1, 2022, 29(4): 262-265.

链接本文:

http://manu58.magtech.com.cn/Jwk_zgyytj/CN/10.3969/j.issn.1006-5253.2022.04.005 或 http://manu58.magtech.com.cn/Jwk_zgyytj/CN/Y2022/V29/I4/262

［1］王爽，陈海燕，李博，等．维持性血液透析患者血清磷水平与健康相关生活质量的关系［J］．天津医药，2020，48(4)：275-278．DOI:10.11958/20192925.
［2］陆晓艳，周建芳，常立阳，等．75例维持性血液透析合并高磷血症患者饮食调查［J］．中国中西医结合肾病杂志，2021，22(9)：827-828．DOI:10.3969/j.issn.1009-587X.2021.09.025.
［3］ST-JULES D E, ROZGA M R, HANDU D, et al. Effect of phosphate-specific diet therapy on phosphate levels in adults undergoing maintenance hemodialysis: A systematic review and meta-analysis［J］. Clin J Am Soc Nephrol, 2020, 16(1):107-120. DOI:10.2215/CJN.09360620.
［4］许娴，马少娜，关锦美．血液透析患者自我管理水平与疾病感知及希望水平相关性研究［J］．中国中西医结合肾病杂志，2021，22(10)：916-918．DOI:10.3969/j.issn.1009-587X.2021.10.021.
［5］赵萍，黄燕林，孙烯辉，等．高磷血症透析患者控磷饮食依从性现况与影响因素分析［J］．中国护理管理，2021，21(1)：126-131．DOI:10.3969/j.issn.1672-1756.2021.01.027.
［6］TANI M, TANAKA S, TAKAMIYA K, et al. Effects of repetitive diet-induced fluctuations in plasma phosphorus on vascular calcification and inflammation in rats with early-stage chronic kidney disease［J］. J Clin Biochem Nutr, 2020, 66(2):139-145. DOI:10.3164/jcbn.19-93.
［7］方卫莲．维持性血液透析肾衰竭患者的延续护理需求调查分析［J］．中国医院统计，2019，26(3)：211-214．DOI:10.3969/j.issn.1006-5253.2019.03.015.
［8］郑诗，梅游英，王诣涵，等．随机森林模型和logistic回归模型在维持性血液透析患者动静脉内瘘失功预测中的应用效果比较［J］．中国医院统计，2021，28(6)：485-490．DOI:10.3969/j.issn.1006-5253.2021.06.002.
［9］何茂芯，杨玉洁．维持性血液透析患者服用磷结合剂依从性调查分析［J］．护理学杂志，2020，35(8)：39-41．DOI:10.3870/j.issn.1001-4152.2020.08.039.
［10］张家瑛，刘景芳，陈靖．饮食磷摄入量与慢性肾脏病患者营养状况和钙磷代谢的相关性［J］．中华肾脏病杂志，2019，35(11)：801-808．DOI:10.3760/cma.j.issn.1001-7097.2019.11.001.
［11］POTLURI V S, SAWINSKI D, TAM V, et al. Effect of neighborhood food environment and socioeconomic status on serum phosphorus level for patients on chronic dialysis［J］. J Am Soc Nephrol, 2020, 31(11):2622-2630. DOI:10.1681/ASN.2020030290.
［12］黄夏赟．协同护理对血液透析伴高磷血症患者低磷饮食的影响［J］．中国医药科学，2022，12(1)：116-119．DOI:10.3969/j.issn.2095-0616.2022.01.031.
［13］高翠翠，曾华韫，彭红云，等．维持性血液透析患者低磷饮食依从性与健康信念、疾病感知的相关性［J］．护理实践与研究，2021，18(10)：1447-1450．DOI:10.3969/j.issn.1672-9676.2021.10.007.
［14］戴静，陈友花，欧艳丽．基于阶段转变理论的健康教育联合个体化饮食方案对血液透析患者的影响［J］．护理实践与研究，2022，19(1)：70-73．DOI:10.3969/j.issn.1672-9676.2022.01.015.
［15］孙伟，范大丽，姜飒．ABC情绪管理结合低磷饮食对肾衰竭血液透析患者心理及营养状态的影响［J］．国际移植与血液净化杂志，2021，19(4)：34-36．DOI:10.3760/cma.j.cn115399-20210421-04010.
［16］FENG X D, XIE X, HE R, et al. Doctorled intensive diet education on health-related quality of life in patients with chronic renal failure and hyperphosphatemia［J］. World J Clin Cases, 2022, 10(4):1217-1225. DOI:10.12998/wjcc.v10.i4.1217.
［17］金凤兰，童辉，夏丹．回授法饮食干预结合叙事视频对维持性血液透析患者的影响［J］．齐鲁护理杂志，2022，28(5)：59-62．DOI:10.3969/j.issn.1006-7256.2022.05.019.
［18］叶星星，周建芳．慢性肾衰竭血液透析患者高磷血症饮食干预研究进展［J］．中国血液净化，2019，18(1)：54-56．DOI:10.3969/j.issn.1671-4091.2019.01.012.
［19］胡雪芳，李顺添，骆雯雅．基于SRM的疾病感知干预对血液透析患者疾病感知、应对方式和希望水平的影响［J］．齐鲁护理杂志，2020，26(7)：73-75．DOI:10.3969/j.issn.1006-7256.2020.07.025.
［20］曾巧，黄江明，石宏斌，等．医护营养师一体化综合管理模式对高磷血症维持性血液透析患者血磷的影响［J］．临床肾脏病杂志，2020，20(3)：218-222．DOI:10.3969/j.issn.1671-2390.2020.03.009.