中华护理杂志 ›› 2023, Vol. 58 ›› Issue (7): 822-828.DOI: 10.3761/j.issn.0254-1769.2023.07.008
尹艳茹(), 周洪昌(), 刘梦如, 梁发存, 茹运新, 杨文娟, 宁云凤, 丁敏
收稿日期:
2022-05-13
出版日期:
2023-04-10
发布日期:
2023-04-11
通讯作者:
周洪昌,E-mail:zhouhc529@zjhu.edu.cn作者简介:
尹艳茹:女,本科(硕士在读),护师,E-mail:2804398846@qq.com
基金资助:
YIN Yanru(), ZHOU Hongchang(), LIU Mengru, LIANG Facun, RU Yunxin, YANG Wenjuan, NING Yunfeng, DING Min
Received:
2022-05-13
Online:
2023-04-10
Published:
2023-04-11
摘要:
目的 调查老年维持性血液透析(maintenance hemodialysis,MHD)患者社会隔离现状及影响因素。 方法 便利选取2022年1月—5月湖州市某三级甲等医院230例老年MHD患者,采用一般资料调查表、社会网络量表简表、家庭关怀指数问卷、汉密尔顿抑郁量表、加州大学洛杉矶分校孤独感量表、社会支持评定量表进行横断面调查。将单因素分析具有统计学意义的变量纳入二元Logistic回归进行多因素分析。 结果 230例老年MHD患者社会隔离得分为(12.27±4.44)分,家庭隔离得分为(7.69±1.93)分,朋友隔离得分为(4.58±3.30)分,社会隔离、家庭隔离、朋友隔离发生率分别为45.2%、10.9%、60.4%。二元Logistic回归分析显示,年龄、透析龄、个人月收入、自评健康状况、社会参与、家庭支持、社会支持是老年MHD患者社会隔离的影响因素(P<0.05)。 结论 老年MHD患者社会隔离水平较高,朋友隔离发生率高于家庭隔离。临床医护人员可重点关注年龄大、透析龄长、健康状况差、经济水平低、社会参与少、家庭及社会支持水平低的老年MHD患者,根据相关影响因素制订干预措施,改善老年MHD患者的社会隔离现状,促进身心健康。
尹艳茹, 周洪昌, 刘梦如, 梁发存, 茹运新, 杨文娟, 宁云凤, 丁敏. 老年维持性血液透析患者社会隔离现状的调查研究[J]. 中华护理杂志, 2023, 58(7): 822-828.
YIN Yanru, ZHOU Hongchang, LIU Mengru, LIANG Facun, RU Yunxin, YANG Wenjuan, NING Yunfeng, DING Min. Status and influencing factors of social isolation in elderly patients with maintenance hemodialysis[J]. Chinese Journal of Nursing, 2023, 58(7): 822-828.
表1 调查对象的一般资料和老年维持性血液透析患者社会隔离单因素分析[例(百分比,%)]
Table 1 The general information of the subjects and the univariate analysis of social isolation in elderly maintenance hemodialysis patients[case(percent,%)]
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