Correlation between treatment compliance and rumination among maintenance hemodialysis patients
10.3760/cma.j.issn.1674-2907.2018.32.016
- VernacularTitle:维持性血液透析患者治疗依从性与反刍性沉思水平的相关分析
- Author:
Limin LUO
1
;
Xiaojie HEI
;
Liping ZHU
;
Jinghua ZHANG
Author Information
1. 450016,郑州市第七人民医院血液净化室
- Keywords:
Dialysis;
Patient compliance;
Rumination;
Correlation
- From:
Chinese Journal of Modern Nursing
2018;24(32):3913-3916
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation between treatment compliance and rumination among maintenance hemodialysis (MHD) patients and to analyze the influencing factors of treatment compliance.Methods From June 2016 to June 2017,we selected 180 MHD patients of the Seventh People's Hospital of Zhengzhou by convenience sampling.All of the patients were divided into poor compliance group (n=53) and good compliance group (n=127) according to the judgment criteria for MHD compliance.We collected clinical data of two groups and investigated the rumination of patients between two groups with the Chinese Version of Event Related Rumination Inventory (ERRI).Spearman rank correlation was used to analyze the correlation between treatment compliance and rumination of patients.Besides,the Logistic regression was used to analyze the influencing factors of treatment compliance among patients.Results There were statistical differences in sexes,ages,educational status,family monthly earning,the ratio of medical reimbursement and time of dialysis between poor compliance group and good compliance group (P＜ 0.05).The score of intrusive rumination in good compliance group was lower than that in poor compliance group;the score of purposive rumination and total score of rumination in good compliance group were higher than those in in good compliance group,all with significant differences (P＜0.05).Spearman rank correlation analysis showed that treatment compliance was positively correlated with purposive rumination and total score of rumination and negatively correlated with intrusive rumination (P＜0.01).Logistic regression analysis indicated that the influencing factors of treatment compliance of MHD patients included sexes,educational status,family monthly earning,time of dialysis and level of rumination (P＜0.01).Conclusions There is a correlation between treatment compliance and rumination among maintenance hemodialysis MHD patients.Nurses should pertinently improve patients' purposive rumination and reduce intrusive rumination so as to improve patients' treatment compliance,treatment effects and quality of quality.
