【摘要】目的了解维持性血液透析(maintenance hemodialysis,MHD)患者健康素养与治疗依从性的现状并探索二者相关性，为有效管理MHD 患者提供理论依据。方法采用随机抽样法对四川大学华西医院肾脏内科血液透析中心240 例MHD 患者进行健康素养及治疗依从性现状调查并探索其相关性。结果MHD患者健康素养总分为(19.36±3.82)分，低于国内常模(t =-3.968，P＜0.001)；治疗依从性总分为(96.22±9.32)分，高于国内常模(t=9.822，P＜0.001)，其中透析方案依从性低于国内常模(t=-61.225，P＜0.001)；MHD 患者健康素养与治疗依从性呈正相关(r =0.386，P＜0.001)。结论维持性血液透析患者健康素养与治疗依从性之间存在密切正相关关系，医护人员可通过提高MHD 患者健康素养水平来促进其治疗依从性，从而达到改善MHD患者生活质量及延长生存期的目的。
【Abstract】Objective To explore the correlation between health literacy and treatment compliance of maintenance hemodialysis (MHD) patients in order to provide a theoretical basis for effective management of MHD patients. Methods A total of 240 MHD patients were investigated by convenience sampling method. Correlation analysis was used for data processing. Results The total score of health literacy was 19.36±3.82 in MHD patients, which is lower than the norm in Chinese population (t=-3.968, P＜0.001). The total score of treatment compliance was 96.22±9.32 in the MHD patients, which is higher than the norm in Chinese population (t=9.822, P＜0.001), but the hemodialysis compliance dimension was below the norm in Chinese population (t= -61.225, P＜0.001). There was a positive correlation between health literacy and treatment compliance in MHD patients (r= 0.386, P＜0.001). Conclusion There was a positive correlation between health literacy and treatment compliance in MHD patients. Therefore, health care professions can improve the treatment compliance of MHD patients through enhancing their health literacy.
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