中西医结合护理 (Dec 2023)
The status and influencing factors of stigma in women of childbearing age with chronic kidney disease (慢性肾脏病育龄期女性患者病耻感现状及影响因素分析)
Abstract
Objective To investigate the current status and influencing factors of stigma in women of childbearing age with chronic kidney disease. Methods Totally 238 women of childbearing age with chronic kidney disease were investigated using general data questionnaire, The stigma scale for chronic illnesses 8- item version (SSCI-8), and influencing factors of stigma were analyzed. Results The incidence of stigma was 66. 39%, and averaged score of SSCI-8 was 13. 0(10. 0, 16. 0). Binary Logistic regression analysis showed that education level, family monthly income were independent influencing factors of occurrence of stigma(P＜0. 05). The multivariate ordered logistic regression showed that the number of children, positive outcomes of urine protein test and medical insurance were associated with degree of stigma(P＜0. 05). Conclusion Findings of investigation showed a high incidence of stigma and moderate level of stigma among women of childbearing age with chronic kidney disease. Women with low family monthly income, low education level, childless women or with two or more children, positive outcomes of urine protein test and without medical insurance may experience a greater degree of stigma. Targeted treatment and interventions should be carried out timely to reduce the stigma in women of childbearing age with chronic kidney disease. (目的 探讨慢性肾脏病(CKD)育龄期女性患者病耻感现状并分析其影响因素。方法 选取2021年11月—2022年11月医院肾脏病科门诊就诊的238例CKD育龄期女性患者为研究对象, 采用一般资料调查、慢性病病耻感量表(SSCI-8)对患者进行调查, 分析CKD育龄期女性患者病耻感的影响因素。结果 病耻感发生率66. 39%(158/235), 病耻感分数为13. 0(10. 0, 16. 0)。二元Logistic回归分析结果显示: 文化程度、家庭人均月收入对CKD育龄期女性患者病耻感发生影响有统计学意义(P＜0. 05); 多元有序Logistic回归分析结果显示: 子女数量、尿蛋白阳性(+)、医保情况对CKD育龄期女性患者病耻感轻重程度影响有统计学意义(P＜0. 05)。结论 调查显示CKD育龄期女性患者病耻感发生率高, 病耻感程度处于中低水平; 家庭人均月收入低、文化程度偏低、无子女/2个以上子女、尿蛋白阳性(+)及无医保的患者病耻感更明显。医护人员应更加重视并给予及时的治疗干预, 减轻患者的病耻感。)
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