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在维持血液透析的老年患者中,血管接入满意度和丧气综合征之间的相关性:一个多中心研究
Xiangying Lv1, Hong Zhang2, Lan Yang2
1Department of Nephrology, Baoding No. 1 Central Hospital, Baoding Great Wall North Street No. 320, Baoding, Hebei, 071000, China. lvxiangying69844@sina.com.
BMC nephrology
|May 28, 2025
概括
老年血液透析患者的血管接入满意度较差,经历了更高的士气丧失. 改善血管接入护理可能会提高这些患者的心理健康和生活质量.
科学领域:
- 腎病學和老年醫學.
- 血管接入和患者结局
- 慢性疾病中的心理健康
背景情况:
- 维护血液透析 (MHD) 是对患有末期病的老年患者的关键治疗方法.
- 血管接入 (VA) 对MHD至关重要,患者对VA的满意度显著影响生活质量.
- 丧气综合征 (DS) 是一种与慢性疾病相关的已知的心理困扰.
研究的目的:
- 在老年MHD患者中调查血管接入满意度 (VAS) 和丧气综合征 (DS) 之间的相关性.
- 在这个人群中确定VAS的预测因素.
- 为了比较具有高和低VAS分数的患者之间的DS严重程度.
主要方法:
- 一项多中心的回顾性研究,涉及350名中国老年MHD患者.
- 患者根据VAS分数使用简单的血管接入问卷 (VAQ) 进行了分类.
- 用中国版本的丧症综合征量表来评估丧;使用后勤回归和t测试分析数据.
主要成果:
- 较低的VAS与较高的DS分数 (73.6对51.2),p<0.01) 显著相关.
- 贫困的VAS的独立风险因素包括独自生活,长时间透析时间和偏甲状腺激素 (PTH) 水平升高.
- 发现更高的血红蛋白水平是对不良VAS的保护因素.
结论:
- 在老年MHD患者中,血管接入满意度和丧之间存在强烈的相关性.
- 侧重于社会支持,贫血管理和矿物代谢的干预措施可以改善VA结果和心理健康.
- 优化VAS对于提高老年MHD患者的整体生活质量至关重要.
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