Analysis Of The Current Situation Of Self Management In Patients With Chronic Renal Failure

Purpose: By ESRD (End-stage renal disease, ESRD) patients to carry out retrospectiveanalysis to understand the functional status of the self-management of chronic renal failurepatients, and to analyze factors leading to deterioration of renal function, so as to furtherexplore the delay ESRD progress self-management approach provides a theoretical basis.Method: The study was retrospective analysis, using a random sampling method, arandom sample of Changchun University of Chinese Medicine regular dialysis kidney dialysisunit has96patients. A self-designed questionnaire and the general development of simpleBroadbent and other cognitive disorders questionnaire and statistical analysis.Result:1, this study collected96cases of ESRD patients, male42cases, accountingfor43.8%, female54cases, accounting for56.3%Slightly more women than men. Age36to65years constitute age-based, accounting for51%. The composition of the patient careercadre/sick largest number of workers, accounting for42.7%. Medical pay respect to theaverage patient-oriented health care, patients at their own expense, followed by30.2%and20.8%respectively. Aspects of the underlying disease,96patients in the highest proportionof hypertensive patients, a total of68cases,70.8%, two, three chronic glomerulonephritis(36cases) and diabetes (31cases), and37.5%, respectively,32.3%. Complications:89patients with hypertension, accounting for92.7%of patients with anemia86cases,accounting for89.6%, metabolic acidosis,59cases (61.5%), in patients with atheroscleroticcoronary heart disease in45cases, accounting for46.9%.2, patient awareness average scoreof (54.88±7.52) points, awareness of the disease was35.4%. Indicating that patients knowthe extent of chronic renal failure in the middle and lower level (questionnaire see Appendix3).3, for age, gender and disease progression in patients were analyzed, the results showedno significant difference, indicating that the patient’s age, gender and disease progressionwas no correlation.4, the course of different groups of patients educated comparison P <0.05,the difference was statistically significant, indicating that a different course is influential onthe educational level, and duration of≧5years in patients with more than high schooleducation were significantly more than the course≧1-year and <5years of patients.5, thedifference between the two groups of patients with different duration of medical payment comparisons P <0.05, the difference was statistically significant. Explained the different waysto pay for the course is influential, duration≧5years a group of patients with free medicalcare, NCMS, the proportion of patients was significantly higher than the general Medicarepatients at their own expense.6, duration of blood pressure control in patients with differentlevels of two different comparison P <0.05, the difference was statistically significant. Andthe duration of≧5years a group of blood pressure130/80mmHg≦higher proportion of.7, duration of glycemic control range of different groups of patients in different comparison P<0.05, the difference was statistically significant. And duration≧1-year and <5years agroup of patients fasting blood glucose≧10mmol/L was significantly higher than theother two groups.8, duration of different groups of patients are taking medicine dialecticalcomparison P <0.05, the difference was statistically significant, patients taking the medicinedialectical relatively slow progression of CKD.9, the course of different groups of patientsare on time and the amount of medication by your doctor, do not take any non-prescriptionprescription disorder, especially kidney damage caused by drug comparison P <0.05, thedifference was statistically significant. And the progression of the patient to take prescribedmedication was significantly slower progression than the other group of patients.10, thecourse of different groups of patients are correct anemia compare P <0.05, the difference wasstatistically significant. Correction of anemia in patients with disease progression weresignificantly higher than in patients without correcting the slow development of anemia.11,dietary factors: the duration of the different groups of patients are attention-salt, low-cholesterol diet comparison P <0.05, the difference was statistically significant. Descriptiongood diet can delay the progression of CKD. Progression in patients with low-salt diet wassignificantly slower than the other group of patients progression.12, the course of differentgroups of patients the level of awareness of the disease is relatively P <0.05, the differencewas statistically significant. Awareness of disease progression in patients with higher thananother group of patients with slow progression.Conclusion:1, ESRD patients aged36to65years of age constitute age-based, showedmiddle-aged and younger elderly has become a high risk of ESRD, chronic renal failure atthe onset of the demographic age structure on the occurrence of a significant changes.2, hypertensive nephropathy is my hospital ESRD dialysis patients the primary cause of glomerulonephritis and diabetic nephropathy was the first2,3.3, self-management behaviors related factors influence disease progression include:blood pressure, blood glucose control, medication management, catering management in fourareas, blood pressure, blood sugar and diet management is well controlled by the slowprogression of CKD.4, other factors: the patient’s educational level, payment method there is a certaindegree of CKD processes affecting higher education, progress in patients with highreimbursement rate is relatively slow. ESRD patients and the most important development forhigh blood pressure, anemia and metabolic disorders.5, the patient know the extent of chronic renal failure in the middle and lower level;affect the level of awareness and the progression of renal failure.6, good self-management, universal health education, improve patient awareness andbetter health care system disease to some extent slow CKD process.