关键词: 血液透析, 依从性, 影响因素分析, 自我效能, 社会支持, 护理

Abstract:

Objective The purpose of the study is to describe the current condition of fluid intake compliance in maintenance hemodialysis patients in Macao China and to explore its influencing factors. Methods A cross-sectional descriptive research design and convenience sampling were used. Data was collected from 230 patients on maintenance hemodialysis in a hospital in Macao during February to April 2020. The research instruments included the demographic and clinical data questionnaire, Fluid Intake Compliance Scale, Self-efficacy Scale and Social Support Rating Scale. SPSS 22.0 Software was used for statistical analysis. Results Among the 230 patients, 26.1% of them fell into the non-compliance category（interdialytic weight gain, IDWG>5%）. The average score of Fluid Intake Compliance Scale was at a medium level（14.24±5.49）. The average scores of Self-efficacy Scale and Social Support Rating Scale were also at a medium level. The correlation analysis showed that the higher the self-efficacy and social support scores,the better the IDWG（P<0.05）. Multivariate logistic regression model analysis suggested that patient’s self-efficacy and age were the influencing factors of fluid intake compliance in hemodialysis patients. Conclusion The compliance of fluid intake in maintenance hemodialysis patients in Macao is good,but patients with lower self-efficacy and younger age should be paid more attention.Nurses should provide individualized health education for patients and families to promote the patients’ self-efficacy and social support,so that they can be compliant with the fluid intake management well.

Key words: Hemodialysis, Compliance, Root Cause Analysis, Self-Efficacy, Social Support, Nursing Care