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接受血液透析患者对盐摄入量的健康认知

Health beliefs of salt intake among patients undergoing haemodialysis.

作者信息

Xie Jianfei, Ding Siqing, Liu Lifang, Liu Zina, Zhang Qiuxiang, Duan Yinglong, Wang Chunyan, Zhou Jianda

机构信息

Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, China.

Xiangya Nursing School, Central South University, Changsha, Hunan, 410008, China.

出版信息

J Ren Care. 2017 Dec;43(4):235-241. doi: 10.1111/jorc.12211. Epub 2017 Sep 5.

Abstract

BACKGROUND

High salt intake has been recognised as a risk factor that contributes to a poor outcome in patients with end stage kidney disease (ESKD). This study examined health beliefs about salt intake among patients undergoing haemodialysis.

MATERIALS AND METHODS

This was a cross-sectional study using a convenience sample. 307 outpatients completed the health beliefs of sodium intake scale (HBSIS).

RESULTS

In this cohort, the score for the perceived self-efficacy subscale (3.59 ± 0.76) was highest, while the score for perceived barriers (2.52 ± 0.67) subscale was lowest. These perceived benefits, susceptibility for the reduction, and no reduction of sodium intake subscale scores were significantly higher in female than in male patients (p < 0.05). The scores for the subscale of perceived barriers, and the seriousness for the reduction and no reduction of sodium intake were significantly higher in haemodialysis patients who had been educated above high school compared with patients with middle school education and below (p < 0.05). The scores for the subscale of perceived benefits, susceptibility, and self-efficacy for reduction or no reduction of sodium intake were also significantly higher in haemodialysis patients with higher income compared to those with lower income (p < 0.05 to p < 0.001). The score for the subscale of perceived seriousness for no reduction of sodium intake was significantly higher in patients who had received transplants than in patients who had not received a transplant (p < 0.01).

CONCLUSION

Patients undergoing haemodialysis have a low level of health belief about salt intake.

摘要

背景

高盐摄入已被认为是导致终末期肾病(ESKD)患者预后不良的一个危险因素。本研究调查了接受血液透析患者对盐摄入的健康认知。

材料与方法

这是一项采用便利抽样的横断面研究。307名门诊患者完成了钠摄入健康信念量表(HBSIS)。

结果

在该队列中,自我效能感分量表得分(3.59±0.76)最高,而感知障碍分量表得分(2.52±0.67)最低。女性患者在这些感知益处、减少钠摄入的易感性以及未减少钠摄入分量表上的得分显著高于男性患者(p<0.05)。与初中及以下学历的血液透析患者相比,高中以上学历的血液透析患者在感知障碍分量表以及减少和未减少钠摄入的严重性方面得分显著更高(p<0.05)。与低收入的血液透析患者相比,高收入的血液透析患者在感知益处、易感性以及减少或未减少钠摄入的自我效能感分量表上的得分也显著更高(p<0.05至p<0.001)。接受过移植的患者在未减少钠摄入的感知严重性分量表上的得分显著高于未接受移植的患者(p<0.01)。

结论

接受血液透析的患者对盐摄入的健康认知水平较低。

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