老年維持性血液透析患者自我管理水平與生活質(zhì)量和院內(nèi)感染的相關(guān)性分析

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【摘要】目的：分析老年維持性血液透析（MHD）患者的自我管理水平與生活質(zhì)量和院內(nèi)感染的相關(guān)性。方法：選擇180例老年MHD患者進(jìn)行現(xiàn)狀調(diào)查研究，分析不同自我管理水平與心理、生理和營養(yǎng)指標(biāo)以及院內(nèi)感染發(fā)生率的相關(guān)性。結(jié)果：高水平組的焦慮自評量表、抑郁自評量表、Piper疲乏修訂量表、癥狀負(fù)擔(dān)量表和營養(yǎng)風(fēng)險篩查量表評分均低于中水平組和低水平組，且呈遞增趨勢（P

【關(guān)鍵詞】 維持性血液透析；自我管理水平；院內(nèi)感染

Correlation of self-management level with quality of life and nosocomial infection in elderly maintenance hemodialysis patients

YU Zhiqin

Department of nosocomial infection management， Taizhou Jiangyan Hospital of Traditional Chinese Medicine， Taizhou， Jiangsu 225500， China

【Abstract】Objective：To analyze the correlation between the level of self-management and quality of life and nosocomial infection in elderly patients with maintenance hemodialysis （MHD）.Methods：180 elderly MHD patients were selected for current status survey and study.The correlation between different levels of self-management and psychological，physiological and nutritional indexes，as well as the incidence of nosocomial infection was analyzed.Results：The scores of self-rating scale of anxiety，self-rating scale of depression，Piper revised fatigue scale，symptom burden scale and nutritional risk screening scale in the high level group were lower than those in the medium level group and the low level group，and showed an increasing trend （P

【Key Words】MHD； Self-management level； Nosocomial infection

自體動靜脈內(nèi)瘺（AVF）是維持性血液透析（MHD）最佳的血管通路，但大多患者長期飽受疾病的折磨、反復(fù)穿刺和治療的創(chuàng)傷，生理和心理狀況顯著下降，降低了自我管理效能[1]。（剩余4556字）