Polikandrioti Maria, Koutelekos Ioannis, Gerogianni Georgia, Stefanidou Spyridoula, Kyriakopoulos Vasilis, Floraki Eirini, Babatsikou Fotoula
Department of Nursing, Technological Educational Institute of Athens, Greece.
Med Arch. 2017 Apr;71(2):122-127. doi: 10.5455/medarh.2017.71.122-127.
Hemodialysis is one of major stresses in patients' daily lives since there is no other path for life maintenance but to accept the machine and its' related rules.
of this study was to explore factors associated with dependency on dialysis machine as reported by the patients.
The sample of the study included 250 patients undergoing hemodialysis. For data collection a questionnaire specially designed for the needs of the research was used. More specifically, socio-demographic and clinical characteristics as well as several other self-reported variables were collected.
Of the 250 participants, 53.2% was men while 65.2% was aged over 60 years. The study showed that 44% of the patients reported that their life depended very much on hemodialysis machine. Statistically significant association was observed between dependency on dialysis machine as reported by the patients and gender (p=0.030), education (p=0.022), job (p=0.001) and place of residence (p=0.001). Additionally, statistically significant association was observed between dependency on dialysis machine as reported by the patients and the degree of information about their problem (p=0.001) and whether patients reported adherence to treatment guidelines (p=0.001) or followed the proposed diet (p=0.001). Finally, statistically significant association was observed between dependency on dialysis machine as reported by the patients and relations with nursing staff (p=0.001), whether patients had noticed change in body image (p=0.001), whether they faced difficulties in social (p=0.001) and family environment (p=0.030), whether they hid their problem (p=0.006), whether they needed help in daily activities (p=0.001) and whether their lifestyle had changed (p=0.001).
Socio-demographic and clinical characteristics as well as hemodialysis patients' beliefs are associated with machine dependency. This study contributed in outlining factors affecting dependency on dialysis machine, thus reinforcing multidisciplinary health care teams to develop interventions in order to address hemodialysis patients' needs.
血液透析是患者日常生活中的主要压力之一，因为除了接受机器及其相关规定外，没有其他维持生命的途径。
本研究旨在探讨患者报告的与依赖透析机器相关的因素。
本研究样本包括250名接受血液透析的患者。为收集数据，使用了专门为研究需求设计的问卷。更具体地说，收集了社会人口学和临床特征以及其他一些自我报告的变量。
在250名参与者中，53.2%为男性，65.2%年龄超过60岁。研究表明，44%的患者报告他们的生活非常依赖血液透析机器。在患者报告的对透析机器的依赖与性别（p = 0.030）、教育程度（p = 0.022）、工作（p = 0.001）和居住地点（p = 0.001）之间观察到具有统计学意义的关联。此外，在患者报告的对透析机器的依赖与关于其问题的信息程度（p = 0.001）、患者是否报告遵守治疗指南（p = 0.001）或遵循建议的饮食（p = 0.001）之间观察到具有统计学意义的关联。最后，在患者报告的对透析机器的依赖与与护理人员的关系（p = 0.001）、患者是否注意到身体形象的变化（p = 0.001）、他们在社交（p = 0.001）和家庭环境中是否面临困难（p = 0.030）、他们是否隐瞒自己的问题（p = 0.006）、他们在日常活动中是否需要帮助（p = 0.001）以及他们的生活方式是否改变（p = 0.001）之间观察到具有统计学意义的关联。
社会人口学和临床特征以及血液透析患者的信念与对机器的依赖有关。本研究有助于勾勒出影响对透析机器依赖的因素，从而加强多学科医疗团队制定干预措施以满足血液透析患者的需求。
