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接受血液透析治疗的终末期肾病患者对疾病的认知及健康行为:一项单中心研究

Acceptance of Illness and Health Behaviours of Patients with End-Stage Renal Disease Treated with Haemodialysis: A Single-Centre Study.

作者信息

Hreńczuk Marta Katarzyna, Rudnicka Weronika, Piątek Tomasz Dawid, Małkowski Piotr

机构信息

Department of Surgical and Transplantation Nursing and Extracorporeal Therapies, Faculty Health Sciences, Medical University of Warsaw, 02-007 Warsaw, Poland.

出版信息

Healthcare (Basel). 2024 Dec 19;12(24):2562. doi: 10.3390/healthcare12242562.

Abstract

BACKGROUND

Patients with end-stage renal disease undergoing haemodialysis experience numerous life changes often requiring significant sacrifices. Adaptation to the limitations associated with the disease and dialysis treatments may influence their health behaviour.

AIM

The aim of the study was to analyse the relationship between the level of illness acceptance and the intensity of health behaviours in patients treated with haemodialysis.

METHODS

The study used a diagnostic survey method using the Acceptance of Illness Scale and Health Behaviour Inventory questionnaires, adapted to Polish conditions by Z. Juczyński. The study was conducted from December 2022 to March 2023 among 105 patients in one dialysis centre in Poland.

RESULTS

The patients showed an average level of disease acceptance (22.64 ± 6.52) and presented a low level of health behaviour intensity (79.11 ± 12.46). The disease acceptance index and the intensity of health behaviours showed positive correlations with age, disease duration, and the duration of haemodialysis treatment. Statistically significant positive correlations were identified between illness acceptance and the intensity of health-related behaviours.

CONCLUSIONS

The acceptance of illness may influence adherence to health behaviours, which highlights the importance of introducing integrated and early therapeutic support to assist in the acceptance process.

摘要

背景

接受血液透析的终末期肾病患者经历了许多生活变化,往往需要做出重大牺牲。适应与疾病和透析治疗相关的限制可能会影响他们的健康行为。

目的

本研究的目的是分析血液透析患者的疾病接受程度与健康行为强度之间的关系。

方法

本研究采用诊断性调查方法,使用由Z. Juczyński根据波兰情况改编的疾病接受量表和健康行为问卷。该研究于2022年12月至2023年3月在波兰一个透析中心的105名患者中进行。

结果

患者的疾病接受程度平均(22.64 ± 6.52),健康行为强度较低(79.11 ± 12.46)。疾病接受指数与健康行为强度与年龄、病程和血液透析治疗时间呈正相关。在疾病接受程度与健康相关行为强度之间发现了具有统计学意义的正相关。

结论

对疾病的接受可能会影响对健康行为的坚持,这突出了引入综合和早期治疗支持以协助接受过程的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df7f/11675093/0eeef2751512/healthcare-12-02562-g001.jpg

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