Abstract: Objective To explore the relationship between self-management level and quality of life in maintenance hemodialysis patients. Methods A total of 95 patients with maintenance hemodialysis who were admitted to our hospital from January 2019 to December 2019 were selected. Hemodialysis patient self-management scale and health survey summary table were used to evaluate the self-management level and quality of life of the patients, and their correlation was analyzed. Results Ninety-five patients had a low self-management level with a total score of (52.18±7.36). The scores of each dimension from low to high were emotional processing, partnership, problem solving, and self-care. The scores of physiological function, physical pain, physiological function, energy, social function, emotional function, mental health, overall health, and the total score of 95 patients were lower than the domestic norm, with statistically significant differences (all P<0.001). According to the results of Spearman analysis, the self-management behavior of patients was significantly positively correlated with quality of life (P<0.05). Conclusion Maintenance hemodialysis patients have a low self-management level and poor quality of life. Self-management level and quality of life are positively correlated.

Key words: Maintenance hemodialysis, Self-management level, Quality of life, Correlation

摘要： 目的 探讨维持性血液透析患者自我管理水平与生存质量状况的相关性。方法 选择2019年1—12月本院收治的维持性血液透析患者95例,采用血液透析患者自我管理量表、健康调查简表评价患者自我管理水平、生存质量情况,并分析其相关性。结果 95例患者自我管理水平较低,总评分为(52.18±7.36)分,各维度得分从低至高依次为情绪处理、伙伴关系、问题解决、执行自我照顾。95例患者生理功能、躯体疼痛、生理职能、精力、社会功能、情感职能、精神健康、总体健康及总分均低于国内常模,差异均有统计学意义(均P<0.001)。依据Spearman分析结果,患者自我管理行为与生存质量均呈显著正相关(均P<0.05)。结论 维持性血液透析患者自我管理水平较低,生存质量较差,自我管理水平与生存质量呈现正相关。

关键词: 维持性血液透析, 自我管理水平, 生存质量, 相关性