Related factors of anxiety and treatment satisfaction in maintenance hemodialysis patients under the mode of medical cluster

WU Linke; CHEN Xiaoxia; ZHANG Yafeng; ZHOU Yue

doi:10.7619/jcmp.20232775

Journal of Clinical Medicine in Practice > 2023 > 27(20): 64-69. > DOI: 10.7619/jcmp.20232775

WU Linke, CHEN Xiaoxia, ZHANG Yafeng, ZHOU Yue. Related factors of anxiety and treatment satisfaction in maintenance hemodialysis patients under the mode of medical cluster[J]. Journal of Clinical Medicine in Practice, 2023, 27(20): 64-69. DOI: 10.7619/jcmp.20232775

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Related factors of anxiety and treatment satisfaction in maintenance hemodialysis patients under the mode of medical cluster

1.
Ward of Renal Failure of Department of Respiratory Medicine, Nanjing Hospital of Nanjing Medical University, Nanjing First Hospital, Nanjing, Jiangsu, 210006
2.
Centre of Nephrology, Nanjing Hospital of Nanjing Medical University, Nanjing First Hospital, Nanjing, Jiangsu, 210006
3.
Department of Public Health, the Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu, 212003

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Received Date: August 31, 2023
Revised Date: October 01, 2023
Available Online: November 05, 2023

Graphical Abstract

Abstract

Abstract

Objective
To analyze the relevant factors of anxiety status and treatment satisfaction of maintenance hemodialysis (MHD) patients under the mode of medical cluster.
Methods
MHD patients admitted to the ward of medical union due to complications from July 2021 to June 2023 were included as the study objects. Demographic characteristicsand nutritional status were recorded, and residual renal functions were determined. The anxiety state and satisfaction of patients were evaluated by the scales. The index levels of patients transferred from the center of the department and the medical union group were compared. The related influencing factors of anxiety score and satisfaction score of transferred patients from medical union groupwere analyzed.
Results
A total of 188 patients were included in this study, including 118 patients in headquarters group and 70 patients in medical union group. There were no significant differences in demographic and nutritional indicators or residual renal function between the two groups(P>0.05), while the mean anxiety score of the medical union group was higher, satisfaction score for treatment was lower than that of the headquarters group (P < 0.05 or P < 0.01). Multiple linear stepwise regression analysis showed that modified quantitative subjective global assessment (MQSGA) score, arm muscle circumference (AMC) and mean arterial pressure were the influencing factors of anxiety score, while age, dialysis age, MQSGA score and AMC were the influencing factors of patients'satisfaction score.
Conclusion
MHD patients under the mode of medical cluster have a state of anxiety, and the treatment satisfaction should be improved. Both are affected by a variety of factors.
- maintenance hemodialysis,
- psychological status,
- status survey,
- medical cluster,
- anxiety,
- treatment satisfaction

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References (23)

References

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Related factors of anxiety and treatment satisfaction in maintenance hemodialysis patients under the mode of medical cluster

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