武警医学2026，Vol.37Issue(4)：306-310,315,6.
慢性肾脏病患者心血管健康现状及影响因素
Current status of cardiovascular health in patients with chronic kidney disease and its in-fluencing factors
赵雪桐 1黄静 2黄海涛 3祁琳 4郑丽霞 5汤若男 5崔思嘉 4王玉玲6
作者信息
- 1. 100853 北京,解放军总医院第一医学中心肾脏病医学部||816000 格尔木,陆军第 952 医院心血管呼吸内科||050081 石家庄,陆军军医大学士官学校战术卫勤系
- 2. 100853 北京,解放军总医院第一医学中心肾脏病医学部
- 3. 816000 格尔木,陆军第 952 医院心血管呼吸内科
- 4. 100853 北京,解放军总医院第二医学中心:呼吸与危重医学科
- 5. 100853 北京,解放军总医院第二医学中心:神经内科
- 6. 100853 北京,解放军总医院卫勤训练中心
- 折叠
摘要
Abstract
Objective To investigate the current status of cardiovascular health in patients with chronic kidney disease(CKD)and analyze the influencing factors in order to provide references for improving the cardiovascular health of CKD patients.Methods Through the convenient sampling method,220 patients who visited the nephrology department of a tertiary hospital in Bei-jing from April to June 2023 were selected.General information questionnaire,the scale of cardiovascular health knowledge for CKD patients,chronic disease self-efficacy scale,positive and negative affective scales and cardiovascular health assessment tools were used for investigation.Univariate analysis,correlation analysis and multiple linear stepwise regression analysis were used to analyze the in-fluencing factors.Results A total of 217 valid questionnaires were collected,with a valid questionnaire recovery rate of 98.6%.The score of cardiovascular health in CKD patients was(61.69±12.10)points.Multiple linear stepwise regression analysis showed that waistline,24 h urine protein quantification,blood urea,follow-up frequency,diabetes history,negative emotion and mastery of cardio-vascular health knowledge were the influencing factors of cardiovascular health in CKD patients.Conclusions CKD patients with nor-mal blood urea,24 h urine protein quantification<1 g,no history of diabetes and follow-up visit frequency≤6 months have better car-diovascular health,while the patients with thicker waistline,more negative emotions,and less knowledge of cardiovascular health have poorer cardiovascular health.It is recommended to customize personalized plans based on the cardiovascular health status of CKD pa-tients and to conduct early intervention to improve prognosis.关键词
慢性肾脏病/心血管健康/影响因素分析/心血管疾病/问卷调查Key words
chronic kidney disease/cardiovascular health/influencing factor analysis/cardiovascular disease/questionnaire sur-vey分类
医药卫生引用本文复制引用
赵雪桐,黄静,黄海涛,祁琳,郑丽霞,汤若男,崔思嘉,王玉玲..慢性肾脏病患者心血管健康现状及影响因素[J].武警医学,2026,37(4):306-310,315,6.
