老年维持性血液透析患者自我管理水平与生活质量和院内感染的相关性分析

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【摘要】目的：分析老年维持性血液透析（MHD）患者的自我管理水平与生活质量和院内感染的相关性。方法：选择180例老年MHD患者进行现状调查研究，分析不同自我管理水平与心理、生理和营养指标以及院内感染发生率的相关性。结果：高水平组的焦虑自评量表、抑郁自评量表、Piper疲乏修订量表、症状负担量表和营养风险筛查量表评分均低于中水平组和低水平组，且呈递增趋势（P

【关键词】 维持性血液透析；自我管理水平；院内感染

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

自体动静脉内瘘（AVF）是维持性血液透析（MHD）最佳的血管通路，但大多患者长期饱受疾病的折磨、反复穿刺和治疗的创伤，生理和心理状况显著下降，降低了自我管理效能[1]。（剩余4556字）