Analysis of the current situation and factors influencing social isolation of maintenance hemodialysis patients
10.3760/cma.j.cn211501-20221031-03331
- VernacularTitle:维持性血液透析患者社会隔离现状及影响因素分析
- Author:
Yibing LIU
1
;
Ming HOU
;
Yu JIANG
;
Fang KAI
;
Meimei DING
;
Ping LI
Author Information
1. 新疆维吾尔自治区人民医院护理部，乌鲁木齐 830001
- Keywords:
Hemodialysis, home;
Social isolation;
Depressive disorder;
Sedentary behavior;
Debilitation
- From:
Chinese Journal of Practical Nursing
2023;39(19):1463-1469
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current situation of occurrence of social isolation in maintenance hemodialysis patients and analyze its influencing factors, in order to provide a theoretical basis for the implementation of targeted interventions.Methods:The study was a cross-sectional study. A total of 315 dialysis patients in three hemodialysis centers in Xinjiang were selected by simple sampling method from October 2021 to March 2022, who were investigated using the general information questionnaire, Lubben-6 social network scale, International Physical Activity Questionnaire (sedentary behavior section), Patient Health Questionnaire 9-item scale (PHQ-9) and Frail Scale. Univariate analysis and binary Logistic regression analysis were used to explore the influencing factors affecting the social isolation of dialysis patients.Results:Social isolation was present in 28.89% (91/315) of maintenance hemodialysis patients, and binary Logistic regression analysis revealed that age (45-59 years old: OR=4.815, 95% CI 1.362-17.017;≥60 years old: OR=8.968, 95% CI 2.349-34.236), dialysis age ( OR=2.788, 95% CI 1.334-5.826), sedentary behavior ( OR=2.504, 95% CI 1.406-4.461), depression ( OR=2.095, 95% CI 1.179-3.722), and debilitation ( OR=2.043, 95% CI=1.062-3.933) were influencing factors of social isolation in maintenance hemodialysis patients (all P<0.05). Conclusions:The occurrence of social isolation in maintenance hemodialysis patients was closely associated with advanced age, high dialysis age, sedentary behavior, debilitation, and depressive status, suggesting that medical staff in hemodialysis centers can implement targeted interventions to prevent or improve the level of social isolation in patients based on relevant influencing factors.
