中国全科医学2016，Vol.19Issue(23)：2776-2779,4.DOI:10.3969/J.issn.1007-9572.2016.23.007
糖尿病腹膜透析患者液体摄入健康信念及容量负荷状况研究
Health Belief of Fluid Intake and Volume Load of Patients With Diabetes Receiving Peritoneal Dialysis
摘要
Abstract
Objective To compare the health belief of fluid intake and volume load of diabetes patients receiving peritoneal dialysis,and clarify the correlation between the health belief of fluid intake and volume load. Methods From January 2014 to January 2015,we enrolled 156 patients who received peritoneal dialysis in the peritoneal dialysis center of the General Hospital of Ningxia Medical University. According to the existence of diabetes,the patients were divided into two groups:diabetic group(n = 36)and non - diabetic group( n = 120). By unified training,the health belief scale was employed to conduct surveys,the accumulated total of the item scores of each subscale was the total score. The body weight and diastolic pressure of the patients were measured by special nurses,and the edema degree of patients was evaluated. Using bioelectrical impedance instrument,the OH,ECW,ICW and E/ I were examined. The dialysis dosage,dialysis glucose concentration,ultrafiltration volume,water intake and urine volume were recorded,and the automatic biochemical analysis was conducted to examine the levels of serum albumin,blood urea nitrogen,serum creatinine,blood glucose and plasma sodium. Results The two groups were not significantly different in the scores of the subscales of perception maintaining capacity balance barrier,perception capacity balance susceptibility,and fluid intake self - efficacy(P > 0. 05). Diabetes group was lower than non - diabetic group in the scores of the subscales of perception capacity balance benefits and perceived capacity balance severity(P < 0. 05). The two groups were significantly different in body weight,diastolic pressure and edema degree( P < 0. 05). Diabetic group was higher than non - diabetic group in the levels of OH,ECW and ICW,and was lower than non - diabetic group in E/ I( P <0. 05). Diabetic group was significantly different from non - diabetic group in dialysis dose,dialysate glucose concentration, water intake,albumin and blood glucose(P < 0. 05). In diabetic group,patients with edema and patients without edema were not significantly different in the scores of the subscales of perception capacity balance benefits,perceived capacity balance severity,perception capacity balance susceptibility,and fluid intake self - efficacy( P > 0. 05). In diabetic group,patients with edema were higher than patients without edema in the scores of the subscale of perception maintaining capacity balance barrier (P < 0. 05). Conclusion Diabetic patients receiving peritoneal dialysis have higher edema degree than non - diabetic patients receiving peritoneal dialysis. That may be associated with the inadequate understanding of the adverse outcomes of capacity imbalance,the lack of healthy behaviors of the restriction on water and salt intake,and poor compliance with the restriction on fluid intake volume.关键词
糖尿病/腹膜透析/饮水/健康知识,态度,实践Key words
Diabetes mellitus/Peritoneal dialysis/Drinking/Health knowledge,attitudes,practice分类
医药卫生引用本文复制引用
赵彩萍,马小琴,王艳,王丽,王永春,张红霞..糖尿病腹膜透析患者液体摄入健康信念及容量负荷状况研究[J].中国全科医学,2016,19(23):2776-2779,4.基金项目
宁夏自然科学基金资助项目 （）
