慢性肾脏病患者心血管健康现状及影响因素OA

Objective To investigate the current status of cardiovascular health in patients with chronic kidney disease(CKD)and analyze the influencing factors in order to provide references for improving the cardiovascular health of CKD patients.Methods Through the convenient sampling method,220 patients who visited the nephrology department of a tertiary hospital in Bei-jing from April to June 2023 were selected.General information questionnaire,the scale of cardiovascular health knowledge for CKD patients,chronic disease self-efficacy scale,positive and negative affective scales and cardiovascular health assessment tools were used for investigation.Univariate analysis,correlation analysis and multiple linear stepwise regression analysis were used to analyze the in-fluencing factors.Results A total of 217 valid questionnaires were collected,with a valid questionnaire recovery rate of 98.6%.The score of cardiovascular health in CKD patients was(61.69±12.10)points.Multiple linear stepwise regression analysis showed that waistline,24 h urine protein quantification,blood urea,follow-up frequency,diabetes history,negative emotion and mastery of cardio-vascular health knowledge were the influencing factors of cardiovascular health in CKD patients.Conclusions CKD patients with nor-mal blood urea,24 h urine protein quantification<1 g,no history of diabetes and follow-up visit frequency≤6 months have better car-diovascular health,while the patients with thicker waistline,more negative emotions,and less knowledge of cardiovascular health have poorer cardiovascular health.It is recommended to customize personalized plans based on the cardiovascular health status of CKD pa-tients and to conduct early intervention to improve prognosis.