血液透析患者液体依从性相关因素的调查：基于自我效能理论的方法。

An investigation of factors associated with fluid adherence among hemodialysis patients: a self-efficacy theory based approach.

作者信息

Brady B A, Tucker C M, Alfino P A, Tarrant D G, Finlayson G C

机构信息

Department of Psychology, University of Florida, Gainesville 32611, USA.

出版信息

Ann Behav Med. 1997 Fall;19(4):339-43. doi: 10.1007/BF02895151.

DOI:10.1007/BF02895151

PMID:9706359

Abstract

This research tested the hypothesis that fluid adherence (i.e. mean weekend interdialysis fluid weight gain) among adult chronic hemodialysis patients would have significant associations with fluid adherence efficacy expectation, fluid adherence outcome expectation, and fluid adherence motivation. The association of these variables with patients' medical characteristics was also examined. Results provide partial support for the hypothesis. Fluid adherence efficacy expectation was found to be a significant predictor of mean weekend interdialysis fluid weight gain (fluid adherence). Patients with higher fluid adherence efficacy expectations had lower mean weekend interdialysis fluid weight gains. However, fluid adherence outcome expectation and fluid adherence motivation were not found to be significant predictors of fluid adherence. Results also revealed that certain of the investigated medical characteristics were significantly associated with mean weekend interdialysis fluid weight gain and fluid adherence efficacy expectation. Implications for studying and modifying fluid adherence among hemodialysis patients are discussed.

摘要

本研究检验了以下假设

成年慢性血液透析患者的液体依从性（即周末透析间期平均液体增重）与液体依从性效能期望、液体依从性结果期望及液体依从性动机之间存在显著关联。同时还考察了这些变量与患者医学特征之间的关联。研究结果为该假设提供了部分支持。研究发现，液体依从性效能期望是周末透析间期平均液体增重（液体依从性）的显著预测因素。液体依从性效能期望较高的患者，其周末透析间期平均液体增重较低。然而，未发现液体依从性结果期望和液体依从性动机是液体依从性的显著预测因素。研究结果还显示，某些被调查的医学特征与周末透析间期平均液体增重及液体依从性效能期望显著相关。文中讨论了对研究和改善血液透析患者液体依从性的启示。