不同人口学特征的维持性血液透析病人护理需求调查

    Investigation of the nursing needs of maintenance hemodialysis patients with different demographic characteristics

    • 摘要:
      目的基于马斯洛需求理论探究维持性血液透析病人需求情况,并分析其与人口学特征的关系。
      方法采用问卷调查法,对162例维持性血液透析病人进行调查,调查内容包括马斯洛5个层次的需求,采用多重线性逐步回归对不同人口学特征的维持性血液透析病人需求情况进行分析。
      结果维持性血液透析病人身体需求、心理需求、精神需求、自尊需求和对医务人员的护理需求得分分别是(3.70±0.62)分、(3.21±0.52)分、(3.59±0.61)分、(3.85±0.56)分、(4.08±0.45)分;文化程度越高病人身体需求B=0.096,95%CI:0.006~0.186)、对医务人员需求B=0.082,95%CI(0.017~0.146)及总需求B=0.075,95%CI(0.014~0.136)得分越高,经济支持来源于自己的病人心理需求得分B=-0.249,95%CI(-0.407~-0.092)更高,年龄越小病人自尊需求得分越高B=-0.128,95%CI(-0.242~-0.015),差异均有统计学意义(P < 0.05~P < 0.01)。
      结论病人对医务人员的护理需求最高,需关注不同经济支持方式病人心理需求、不同年龄病人自尊需求以及关注不同文化程度病人对身体、对医务人员需求的影响,在人口学特征上分析病人的需求将有助于病人和医护人员寻找最佳的个性化治疗方面的共同决策。

       

      Abstract:
      ObjectiveTo explore the needs of maintenance hemodialysis patients based on Maslow's hierarchy of needs, and analyze its correlation with demographic characteristics.
      MethodsA total of 162 patients with maintenance hemodialysis were investigated by questionnaire, which included Maslow's needs at five levels.The needs of maintenance hemodialysis patients with different demographic characteristics were analyzed using multiple linear step-by-step regression.
      ResultsThe scores of physical needs, psychological needs, spiritual needs, self-esteem needs and care needs for medical personnel in patients with maintenance hemodialysis were(3.70±0.62) points, (3.21±0.52) points, (3.59±0.61) points, (3.85±0.56) points and(4.08±0.45) points, respectively.The higher the level of education was, the higher the score of patients' physical demandB=0.096, 95%CI: 0.006-0.186), demand for medical personnelB=0.082, 95%CI(0.017-0.146) and total demandB=0.075, 95%CI(0.014-0.136) were.The psychological needs score of patients with financial support from themselves was higherB=-0.249, 95%CI(-0.407--0.092), and the self-esteem needs score of patients with younger age was higherB=-0.128, 95%CI(-0.242--0.015), the differences of which were statistically significant(P < 0.05 to P < 0.01).
      ConclusionsThe need of patients for medical staff is highest, and the attention should be paid to the psychological needs of patients with different financial support, different age patients' self-esteem needs and effects of education on the body and needs of medical staff.The demographic analysis of patient needs will help patients and health care providers make joint decisions about the best personalized care.

       

    /

    返回文章
    返回