The effects of cognitive impairment on the self-management ability and self-management behavior in patients of end stage renal disease with maintenance hemodialysis
10.3760/cma.j.issn.1674-6554.2015.07.012
- VernacularTitle:认知功能损害对终末期肾病血液透析患者自我管理行为和能力的影响
- Author:
Bingxia XU
;
Xuexun CHEN
;
Wenbin WU
- Publication Type:Journal Article
- Keywords:
End stage renal disease;
Hemodialysis;
Cognitive impairment;
Self-management
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2015;24(7):619-621
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of cognitive impairment on the self-management ability and self-management behavior among the patients of end stage renal disease (ESRD) with maintenance hemodialysis (MHD).Methods 134 MHD patients were divided into the non cognitive impairment group(62 subjects) and cognitive impairment group(72 subjects) according to Montreal cognitive assessment (MoCA)scores,to asses and analyze the level of hemodialysis knowledge,hemodialysis adherence,self-management ability and self-management behavior between the two groups.Results The rates of hemodialysis skipping behavior and the rates of hemodialysis shorting behavior in cognitive impairment group (respectively,18.06％,22.22％) were higher than that in non cognitive impairment group(respectively,6.45％,8.06％) with significant difference (x2 =4.0495,5.0526,all P＜0.05).The cognitive impairment group had significantly less total score (respectively,16.62 ± 1.99,51.32± 9.92,56.99±8.3) in the level of hemodialysis knowledge,the self-management ability and the self-management behavior compared with the non cognitive impairment group(respectively,18.48±2.03,63.69±10.16,78.54± 10.28) (t=5.3448,7.1172,13.4140,all P＜0.05).Conclusion Cognitive impairment can produce an effect on the level of hemodialysis knowledge and hemodialysis adherence.Cognitive impairment can also reduce the function of self-management ability and self-management behavior and make badly further effect on curative effect of hemodialysis.
