维持性血液透析患者的疾病认知、治疗依从性与临床结局之间的关系。
Relationship between illness perceptions, treatment adherence, and clinical outcomes in patients on maintenance hemodialysis.
作者信息
Kim Youngmee, Evangelista Lorraine S
机构信息
UCLA School of Nursing, Los Angeles, CA, USA.
出版信息
Nephrol Nurs J. 2010 May-Jun;37(3):271-80; quiz 281.
Abstract
Previous data indicate that negative perception of disease and non-adherence to recommended treatment may lead to unfavorable clinical outcomes in patients on maintenance hemodialysis (HD). However, a paucity of research addresses clinical outcomes in the end stage renal disease (ESRD) population as a function of patients' illness perceptions and their degree of adherence to recommended treatment. The study was conducted to examine illness perceptions and treatment adherence rates in patients on maintenance HD, and to determine if illness perceptions and adherence behaviors influence clinical outcomes. One hundred fifty-one patients completed the Revised Illness Perception Questionnaire and the ESRD-Adherence Questionnaire. Illness perceptions did not independently predict any clinical outcomes in patients on maintenance HD; however, specific adherence behaviors affected clinical outcomes. Therefore, strategies to enhance adherence should be rigorously pursued in this population to improve clinical outcomes.
摘要
先前的数据表明，对疾病的负面认知以及不遵守推荐治疗方案可能会导致维持性血液透析（HD）患者出现不良临床结局。然而，针对终末期肾病（ESRD）患者群体，基于其疾病认知和对推荐治疗的依从程度来研究临床结局的研究却很少。本研究旨在调查维持性HD患者的疾病认知和治疗依从率，并确定疾病认知和依从行为是否会影响临床结局。151名患者完成了修订后的疾病认知问卷和ESRD依从性问卷。疾病认知并不能独立预测维持性HD患者的任何临床结局；然而，特定的依从行为会影响临床结局。因此，应在该人群中严格推行提高依从性的策略，以改善临床结局。
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