321例老年维持性血液透析病人整体功能水平及影响因素分析

doi:10.3969/j.issn.1003-9198.2021.07.012

Abstract

Abstract: Objective To investigate the status and influencing factors of overall function in the elderly patients with maintenance hemodialysis (MHD), and to improve the overall functional level of patients with MHD. Methods A total of 321 elderly patients with MHD from three tertiary hospitals in Beijing were investigated with general information questionnaire, World Health Organization Disability Assessment Schedule 2.0 (WHO DAS 2.0), Dialysis Symptom Index (DSI), Medical Coping Modes Questionnaire (MCMQ) and social support rating scale. The influencing factors for overall function in the elderly patients with MHD were analyzed by multiple linear regression analysis. Results The WHO DAS 2.0 score for the MHD patients was 66.42±21.37. Multiple linear regression analysis showed that dialysis symptoms, dialysis age, marital status, and acceptance-resignation were independent factors for the overall functional level of the MHD patients. Conclusions The overall functional level of MHD patients is disorder mildly. Clinical medical staff should actively control the patient's dialysis symptoms, and attach importance to communication with the patient's spouse, encourage the patient to actively participate in social activities and face life optimistically.

Key words: hemodialysis, overall function, aged

CLC Number:

R 459.5

CHENG Dan, YAO Qiong, ZHANG Bing, ZHAO Ya-jing. Overall functional level and its influencing factors in 321 elderly patients with maintenance hemodialysis[J]. Practical Geriatrics, 2021, 35(7): 709-712.

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Overall functional level and its influencing factors in 321 elderly patients with maintenance hemodialysis

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