糖尿病肾病血液透析患者自我隐瞒情况及影响因素

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摘要目的分析糖尿病肾病（DN）血液透析（HD）患者自我隐瞒情况及影响因素。方法前瞻纳入安徽省马鞍山市中医院2019年4月至2020年12月接受HD治疗的100例DN患者为研究对象，采用自我隐瞒量表（SCS）评估患者自我隐瞒情况。设计基线资料填写表，询问并记录患者相关基线资料，比较不同资料特征患者自我隐瞒情况，分析可能影响HD治疗的DN患者自我隐瞒情况的相关因素。结果 100例HD治疗的DN患者自我隐瞒情况处于中等水平，SCS评分为（32.80±2.22）分。不同透析龄、自尊水平、社会支持、应对方式患者自我隐瞒情况比较，差异有统计学意义（P ＜ 0.05）。经多元线性回归检验，透析龄≥1年、低自尊水平、社会支持一般、消极应对是HD治疗的DN患者自我隐瞒倾向的影响因素（P ＜ 0.05）。回归方程如下：Y = 5.992+4.244X1+9.698X2+5.889X3+10.401X4。结论 HD治疗的DN患者自我隐瞒情况处于中等水平，透析龄≥1年、低自尊水平、社会支持一般、消极应对可能是影响患者自我隐瞒情况的主要因素。

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	吴媛媛陶蓉徐亚菊赵鑫

关键词 ：糖尿病肾病, 血液透析, 自我隐瞒, 透析龄, 自尊, 社会支持, 应对方式

Abstract：Objective To analyze the self-concealment and influencing factors of hemodialysis (HD) patients with diabetic nephropathy (DN). Methods Prospectively enrolled 100 patients with DN who received HD treatment from Maanshan Hospital of Traditional Chinese Medicine in Anhui Province from April 2019 to December 2020. The self-concealment scale (SCS) was used to assess the self-concealment of patients. The baseline data filling form, ask and record the relevant baseline data of patients were designed, the self-concealment status of patients with different data characteristics were compared, and the relevant factors that might affect the self-concealment status of HD patients with DN were analyzed. Results The self-concealment of 100 HD patients with DN was at a moderate level, and the SCS score was (32.80±2.22) points. There were statistically significant difference in self-concealment among patients with different dialysis age, self-esteem level, social support, and coping style (P ＜ 0.05). After multiple linear regression tests, dialysis age ≥ one year, low self-esteem, average social support, and negative coping were influencing factors for self-concealment tendency of HD patients with DN (P ＜ 0.05). The regression equation was as follows: Y = 5.992+4.244X1+9.698X2+5.889X3+10.401X4. Conclusion The self-concealment of HD patients with DN is at a moderate level. Dialysis age ≥one year, low self-esteem, average social support, and negative coping may be the main factors affecting the self-concealment of patients.

Key words： Diabetic nephropathy Hemodialysis Self-concealment Dialysis age Self-esteem Social support Coping style

引用本文:

吴媛媛陶蓉徐亚菊赵鑫. 糖尿病肾病血液透析患者自我隐瞒情况及影响因素[J]. 中国医药导报, 2021, 18(33): 68-71.
WU Yuanyuan TAO Rong XU Yaju ZHAO Xin. Self-concealment and influencing factors of patients with diabetic nephropathy on hemodialysis#br#. 中国医药导报, 2021, 18(33): 68-71.

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