单中心腹膜透析患者治疗依从性的横断面研究

doi:10.3760/cma.j.cn441417-20241220-13006

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (13): 2136-2140.DOI: 10.3760/cma.j.cn441417-20241220-13006

单中心腹膜透析患者治疗依从性的横断面研究

凌晨^1,2 曾惠³ 曹嘉琪¹ 毕静雯¹ 雷子涵¹

¹广州市花都区人民医院肾病学科，广州 510800；²广西慢性病代谢重塑与智能医学工程重点实验室（桂林医科大学第二附属医院），桂林 541199；³广州市受助人员安置中心医务室，广州 510430

收稿日期:2024-12-20 出版日期:2025-07-01 发布日期:2025-08-04
通讯作者: 雷子涵，Email：dzleizihan@163.com
基金资助:
广州市花都区基础与应用基础区院联合资助项目（23HDQYLH07）；广东省医学科研基金（A2024476）；广西慢性病代谢重塑与智能医学工程重点实验室（KFKT2025007）；广州市医学重点学科（2025-2027年）；广州市卫生健康科技一般引导项目（2024A010101）

A cross-sectional study on treatment compliance in patients undergoing peritoneal dialysis in a single center

Ling Chen^1,2, Zeng Hui³, Cao Jiaqi¹, Bi Jingwen¹, Lei Zihan¹

¹Department of Nephrology, Huadu District People's Hospital of Guangzhou, Guangzhou 510800, China; ²Guangxi Key Laboratory of Metabolic Reprogramming and Intelligent Medical Engineering for Chronic Diseases, The Second Affiliated Hospital of Guilin Medical University, Guilin 541199, China; ³Medical Room, Guangzhou Assistance Personnel Placement Center, Guangzhou 510430, China

Received:2024-12-20 Online:2025-07-01 Published:2025-08-04
Contact: Lei Zihan, Email: dzleizihan@163.com
Supported by:
District-hospital Funded Project of Basic Research and Application Basic Research at Huadu District in 2023 (23HDQYLH07); Guangdong Medical Research Fund in 2024 (A2024476); Guangxi Key Laboratory of Metabolic Reprogramming and Intelligent Medical Engineering for Chronic Diseases (KFKT2025007); Guangzhou Medical Key Discipline (2025-2027); Guangzhou Health Science and Technology General Guidance Project (2024A010101)

摘要/Abstract

摘要：

目的　了解某综合性三甲医院腹膜透析患者治疗依从性现状。方法　采用量性研究横断面调查方法，使用终末期肾病维持性血液透析患者治疗依从性量表、抑郁自评量表、生活自理能力评分表评估2023年11月至2024年1月广州市花都区人民医院226例腹膜透析患者的治疗依从性情况。采用独立样本t检验、单因素方差分析进行统计学分析。结果　226例患者中男133例，女93例，年龄为（55.77±13.45）岁，透析龄为（50.30±43.52）个月，治疗依从性总分为（84.94±11.10）分，处于中等水平。不同年龄患者液体摄入依从性评分差异有统计学意义（P<0.05），不同年龄、学历、工作情况、居住情况患者用药依从性评分差异均有统计学意义（均P<0.05），不同透析龄和腹膜透析操作者的患者饮食依从性评分差异均有统计学意义（均P<0.05），不同透析龄和工作情况患者治疗依从性总分差异均有统计学意义（均P<0.05）。结论　腹膜透析医护团队应重视长透析龄和青年患者治疗依从性问题，适时进行腹膜透析再评估、再教育；借助信息化手段，开展多种形式健康宣教；将抑郁筛查纳入门诊随访内容，以提高腹膜透析患者服药依从性。

关键词: 腹膜透析, 治疗依从性, 横断面研究

Abstract:

Objective　To understand the current status of treatment compliance among peritoneal dialysis (PD) patients in a general tertiary hospital. Methods　A quantitative cross-sectional survey method was adopted. The treatment compliance of 226 PD patients in Huadu District People's Hospital of Guangzhou from November 2023 to January 2024 was evaluated using the End Stage Kidney Disease Dialysis Patient Treatment Compliance Scale, Self-rating Depression Scale, and Self-care Ability Score Sheet. Statistical analysis was performed using independent sample t-test and one-way analysis of variance. Results　Among the 226 patients, there were 133 males and 93 females, with an age of (55.77±13.45) years old and a dialysis age of (50.30±43.52) months, and the total score of treatment compliance was (84.94±11.10) points, which was at a moderate level. There was a statistically significant difference in the score of liquid intake compliance score among patients of different ages (P<0.05); there were statistically significant differences in the scores of medication compliance among patients of different ages, educational levels, working situations, and residence situations (all P<0.05); there were statistically significant differences in the scores of dietary compliance among patients of different dialysis ages and PD operators (both P<0.05); there were statistically significant differences in the total scores of treatment compliance among patients with different dialysis ages and working situations (both P<0.05). Conclusions　The medical team for PD should pay attention to the treatment compliance in patients with long dialysis age and young PD patients, and conduct timely reassessment and re-education of PD; utilize information technology to carry out various forms of health education channels; include depression screening in outpatient follow-up to improve the medication adherence among PD patients.

Key words: Peritoneal dialysis, , Treatment compliance, , Cross-sectional survey

凌晨曾惠曹嘉琪毕静雯雷子涵.

单中心腹膜透析患者治疗依从性的横断面研究 [J]. 国际医药卫生导报, 2025, 31(13): 2136-2140.

Ling Chen, Zeng Hui, Cao Jiaqi, Bi Jingwen, Lei Zihan.

A cross-sectional study on treatment compliance in patients undergoing peritoneal dialysis in a single center [J]. International Medicine and Health Guidance News, 2025, 31(13): 2136-2140.

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单中心腹膜透析患者治疗依从性的横断面研究

A cross-sectional study on treatment compliance in patients undergoing peritoneal dialysis in a single center

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