目的 探讨维持性血液透析(MHD)患者重返工作准备度现状及其影响因素。方法 采用方便取样方法选取2023年1月至4月在四川大学华西医院、四川省雅安市雨城区人民医院、四川省江油市人民医院血液透析中心行MHD的患者。采用重返工作准备度量表对其进行问卷调查,并分析其MHD患者重返工作准备度的现状及影响因素。结果 共发放197份问卷,收回有效问卷197份,130例(66%)未重返工作,67例(34%)已重返工作;相比较已重返工作前意向阶段维度,未重返工作前意向得分较高[(3.09±0.82) vs.(2.81±0.87),t=-2.194,P<0.05)];采用二元logistic回归分析结果显示,年龄[OR=4.860, 95%CI(2.533, 9.323),P＜0.001)]、合并症(OR=0.517, 95% CI,0.270,0.989,P= 0.046)是影响MHD患者重返工作岗位的影响因素。结论 MHD 患者重返工作准备度有待提高,应该多关注年龄小、无合并症的MHD患者重返工作的准备度,采取针对性的干预措施,使患者积极回归社会,提高生活质量。
Abstract
Objective To explore the status quo and influencing factors of return to work in maintenance hemodialysis (MHD) patients. Methods The patients receiving MHD from West China Hospital Affiliated to Sichuan University, Yucheng District People’s Hospital of Ya’an City of Sichuan Province and Jiangyou People’s Hospital of Sichuan Province from January to April 2023 were selected by convenient sampling method. A questionnaire survey was conducted with the ready-to-work scale, and the status quo and influencing factors of ready-to-work in MHD patients were analyzed. Results A total of 197 questionnaires were distributed, 197 valid questionnaires were collected, 130 cases (66%) did not return to work, and 67 cases (34%) had returned to work. Compared with the dimension of intention before returning to work,, the score of intention before returning to work was higher [(3.09±0.82) vs. (2.81±0.87), t=-2.194, P<0.05)]. Binary logistic regression analysis showed that age [OR=4.860, 95%CI(2.533, 9.323),P<0.001)], and comorbidities [(OR=0.517, 95% CI, 0.270, 0.989, P=0.046)] were the influencing factors for MHD patients to return to work. Conclusions The readiness of MHD patients needs to be improved, so more attention should be paid to the readiness of MHD patients with young age and no comorbidities to return to work, and targeted intervention measures should be taken to enable patients to actively return to society and improve their quality of life.
关键词
血液透析 /
重返工作准备度 /
影响因素 /
护理干预
Key words
hemodialysis /
return to work /
influencing factor /
nursing intervention
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基金
四川省科学技术厅科普培训项目(2021JDKP0084)
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