血液透析患者析管内并发症的诱因

Sandi Alfa Wiga Arsa, Anita Rahmawati
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摘要

引言:析管内并发症仍是医院血液透析室医护人员争论的焦点,许多因素都可能导致患者在透析过程中出现并发症。本研究旨在找出导致析管内并发症发生的因素,从而将并发症的发生率降至最低。 研究方法本研究采用横断面分析描述性研究设计。抽样技术是对 120 名患者进行连续抽样。卡方统计检验的目的是检查比例差异。如果双变量检验的结果 p < 0.25,则可使用多元逻辑回归分析将这些变量纳入多变量模型。 结果:候选结果中,血红蛋白(0,014)、液体依从性(0,221)、静脉通路(0,236)、IDWG(0,023)和合并症(0,006)的 p 值均小于 0.25。在多变量检验中,Comorbid(0,007; OR:2.361 )、IDWG(0,049;OR:-1,894)和 Hb(0,047;OR: 0,922),可以得出结论,这三个因素对发生介入治疗并发症有显著影响。可由静脉通路、合并症、IDWG、HB 和依从性这 5 个变量描述的肾内问题比例为 24%,其余 18% 可由其他因素解释。 结论:合并症、治疗间期体重增加和血红蛋白目标完成情况都对治疗内并发症的发生有重要影响。本研究的结果可用于提高人们对肾病治疗内并发症的认识。这一弱势群体需要有效的管理来解决他们遇到的问题。
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Contributing Factors to Intradialytic Complications in Hemodialysis Patients
Introductioin : Intradialytic complications are still being debated among health workers in the Hemodialysis Unit in Hospitals, many factors can cause patients to experience complications during dialysis. This study aims to identify the factors that contribute to the incidence of intradialytic complications in order to minimize the incidence of complications. Methode : This study used a research design in the form of analytic descriptive with cross-sectional. The sampling technique was a consecutive sampling of 120 patients. The chi-square statistical test aims to examine differences in proportions. If the results of the bivariate test have p <  0.25, then these variables can be included in the multivariate model using multiple logistic regression analysis. Result : Candidate selection results, Hb (0,014), Fluid Compliance (0,221), Venous Access (0,236), IDWG (0,023), and Comorbid (0,006) have a p value less than 0.25. In the multivariate test obtained Comorbid (0,007; OR:2.361 ), IDWG (0,049;OR:-1,894), and Hb (0,047;OR: 0,922), it can be concluded that these three factors have a significant influence on the occurrence of intradialytic complications.The proportion of intradialytic problems that can be described by 5 variables, namely venous access, comorbidities, IDWG, HB, and adherence, is 24%, with the remaining 18% explained by other factors. Conclusion : Comorbid, interdialytic weight gain, and hemoglobin goal accomplishment all have a significant role in the occurrence of intradialytic complication. The findings of this study can be utilized to raise awareness of intradialytic consequences. This vulnerable population need effective management to manage the problems they are experiencing.
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