期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Journal of Modern Nursing Medicine. 2025; 4: (2) ; 28-31 ; DOI: 10.12208/j.jmnm.20250065.

Analysis of the current status and influencing factors of decision regret in patients with end-stage renal disease
终末期肾病患者决策后悔现状及影响因素分析

作者: 杜明珠 *

海军军医大学第二附属长征医院 上海

*通讯作者: 杜明珠,单位:海军军医大学第二附属长征医院 上海;

发布时间: 2025-02-25 总浏览量: 60

摘要

目的 探究终末期肾病患者决策后悔现状,评估影响因素。方法 选择我院在2023年7月份至2024年6月份收治的80例终末期肾病患者进行研究,通过决策后悔量表、决策参与量表、决策冲突量表、决策准备度量表为患者进行调查,分析患者的后悔现状以及影响因素,患者决策后悔水平较高;结果 患者的决策准备度评分为50.41±2.75分;决策冲突得分为28.69±3.15分;患者的决策准备度和决策后悔为负相关,决策冲突和决策后悔为正相关。结论 对于终末期肾病患者多存在决策后悔,受到影响的因素较高,护理人员应给予有效的干预,以提升决策的落实程度,降低患者后悔程度。

关键词: 终末期肾病;决策后悔;影响因素

Abstract

Objective To explore the current status of decision regret in patients with end-stage renal disease and evaluate the influencing factors.
Methods 80 end-stage renal disease patients admitted to our hospital from July 2023 to June 2024 were selected for the study. The patients were surveyed using the Decision Regret Scale, Decision Participation Scale, Decision Conflict Scale, and Decision Preparation Scale to analyze their regret status and influencing factors. The patients had a high level of decision regret;
Results The patient's decision readiness score was 50.41 ± 2.75 points; The decision conflict score is 28.69 ± 3.15 points; The patient's decision readiness and decision regret are negatively correlated, while decision conflict and decision regret are positively correlated.
Conclusion   For patients with end-stage renal disease, there is often decision regret, which is influenced by a high number of factors. Nursing staff should provide effective intervention to improve the implementation of decisions and reduce the degree of patient regret.

Key words: End stage renal disease; Decision regret; Influencing factors

参考文献 References

[1] 佘颖琪,何雅明,吴建炜,刘宁.终末期肾病患者及家属预立医疗照护计划现状及影响因素的混合研究系统评价[J].军事护理,2024,41(9):108-112.

[2] 张慧,周紫娟,杨薇,邹海欧.终末期肾病患者轻度认知功能障碍影响因素的探究——基于Logistic和决策树模型[J].中国血液净化,2023,22(11):876-879F0003.

[3] 祁聪慧,康凤英,赵文芳,范亚荣.连续性肾脏替代治疗患者家属决策后悔现状及影响因素分析[J].护理学杂志, 2023,38(12):13-17.

[4] 查丹凤,杨雄豪.终末期肾病患者首次透析治疗时负担心理现状及影响因素分析[J].中国中西医结合肾病杂志, 2021, 22(12):1105-1107.

[5] 张筠婷,郑金刚.冠心病合并终末期肾病治疗决策的选择研究[J].中国全科医学,2020,23(17):2177-21802185.

[6] 查丹凤,杨艳,章海芬,杨雄豪.中文版共享决策问卷-9在终末期肾脏病患者透析选择中应用的信效度检验[J].中国医学装备,2020,17(12):136-141.

[7] 王娅竹,邢利民,高淑平,凡颖,杨萍.肾内科护士对终末期肾病患者姑息照护认知及态度的质性研究[J].中国实用护理杂志,2022,38(30):2375-2380.

[8] 龙世银,龙倩,朱守叶,等.终末期肾病患者首次血液透析治疗时的心理负担现状调查及其影响因素分析[J].首都食品与医药, 2024, 31(12):125-127.

[9] 张健美,李亚光,李慧妍.终末期肾病新入血液透析患者再住院影响因素及其风险预测模型[J].临床误诊误治, 2024, 37(4):35-41.

[10] 叶剑锋,邱成,刘洪涛.血液透析,腹膜透析及肾移植对终末期肾病患者生存质量的影响及影响因素分析[J].生物医学工程与临床, 2020, 24(3):5.

引用本文

杜明珠, 终末期肾病患者决策后悔现状及影响因素分析[J]. 现代护理医学杂志, 2025; 4: (2) : 28-31.