关键词: 血液透析, 饮食治疗, 态度, 影响因素

Abstract: Objective: To investigate the status of attitude to dietary therapy in hemodialysis(HD) patients and analyze its influencing factors. Methods: A total of 285 participants who underwent HD treatment in the outpatient department of kidney disease blood purification center of a Class A tertiary hospital in Tianjin were recruited by convenience sampling method from March 2019 to April 2019. The general information questionnaire, the Attitude Scale for the Dietary Therapy of Hemodialysis Patients (ASDTH), the Positive and Negative Affect Schedule (PANAS), the Brief Illness Perception Questionnaire(BIPQ), the end stage renal disease dietary knowledge questionnaire, and the Social Support Rating Scale (SSRS) were used to the investigation. Results: The total score of attitude to dietary therapy in HD patients was 40.0 (37.0, 43.0). There were 150 patients(52.6%) with moderate dietary therapy attitude. Multiple stepwise regression analysis showed that social support, dietary knowledge, illness perception, drinking, male, and preparing food by oneself were influencing factors of attitude to dietary therapy in HD patients (P<0.05). Conclusion: Attitude to dietary therapy in HD patients is at the above medium level. It suggests that scientific and effective personalized health education programs should be provided to different patients and their families in clinical working. Patients’ emotions should be given attention in time and patients who are male especially with drinking and in charge of food by themselves should be given more active communication, so as to change unhealthy lifestyle habits.

Key words: Hemodialysis, Dietary therapy, Attitude, Influencing factor