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.
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