190例维持性血液透析患者灵性健康现状及影响因素的Ordinal Logistic回归分析

doi:10.16460/j.issn1008-9969.2019.24.032

摘要/Abstract

摘要： 目的了解维持性血液透析患者灵性健康现状,并探讨其影响因素。方法采用方便抽样法,于2019年6—9月抽取在成都某三级甲等医院行维持性血液透析患者作为研究对象。采用一般资料调查表、中文版慢性疾病治疗功能评估-灵性量表-12、家庭关怀度指数量表,对190例维持性血液透析患者进行调查。采用Ordinal Logistic 回归分析灵性健康的影响因素。结果维持性血液透析患者灵性健康总分为（25.79±6.44）分,Ordinal Logistic 回归分析结果显示：自评睡眠质量（OR=1.728,95%CI：0.453~2.309）和家庭关怀度（OR=1.657,95%CI：0.258~2.239）是维持性血液透析患者灵性健康的影响因素（P<0.05）。结论维持性血液透析患者灵性健康处于中等水平,临床中重点关注睡眠质量差及家庭关怀度重度障碍的患者,根据患者具体情况进行干预,提升其灵性健康水平。

关键词: 维持性血液透析, 灵性健康, 家庭关怀度

Abstract: Objective To understand the spiritual health status of maintenance hemodialysis patients and to explore its influence factors. Methods With convenient sampling, 190 hemodialysis patients regularly treated in a tertiary grade-A hospital in Chengdu from June to September 2019 were investigated by using a self-designed general information questionnaire, the Chinese version of the Functional Assessment of Chronic Illness Therapy Spirit (facit-sp-12) and the Family Care Index Scale. Ordinal logistic regression was used to analyze the influencing factors of spiritual health. Results The total score of spiritual health of maintenance hemodialysis patients was 25.79±6.44. Ordinal logistic analysis showed that self-rated sleep quality (OR=1.728, 95%CI:0.453~2.309) and family care (OR=1.657, 95%CI:0.258~2.239) were the influencing factors of the spiritual health (P<0.05). Conclusion The spiritual health of patients with maintenance hemodialysis is in a medium level. In clinical practice, the patients with poor sleep quality and severe family care disorders should be focused on. Targeted measures should be adopted to improve the spiritual health of patients.

Key words: maintenance hemodialysis, spiritual health, family care

中图分类号:

R473.5

薛贵方, 张颖君, 瞿佳. 190例维持性血液透析患者灵性健康现状及影响因素的Ordinal Logistic回归分析[J]. 护理学报, 2019, 26(24): 32-35.

XUE Gui-fang, ZHANG Ying-jun, QU Jia. Ordinal Logistic Regression Analysis of Spiritual Health and Its Influence Factors of Maintenance Hemodialysis Patients: A 190-case Study[J]. Journal of Nursing, 2019, 26(24): 32-35.

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