Analysis of Influencing Factors and Intervention Measures Related to Volume Management Behavior in Patients with Maintenance Hemodialysis

LI Lan; HE Jinqiu; CHEN Anping

doi:10.14033/j.cnki.cfmr.2026.06.002

Abstract：Objective:To analyze the factors influencing volume management behaviors in maintenance hemodialysis(MHD)patients and propose corresponding interventions.Method:A retrospective analysis was conducted on clinical data from 180 MHD patients at Zunyi First People's Hospital between January and December 2023.Volume management behavior was assessed using a volume management behavior scale,while general data including gender,age,marital status,household monthly income,dialysis duration,and complications were collected.Univariate and multivariate analyses were performed to identify factors affecting MHD patients'volume management behaviors.Result:The mean volume management behavior score for the 180 MHD patients was(17.26±2.31)points.Univariate analysis showed there were no statistically significant differences in scores for age,gender,marital status,dialysis frequency,living alone status,and complications(P>0.05).The Univariate analysis showed that there were statistically significant differences in the capacity management behavior scores among different leves of education,self-efficacy,monthly family income,and medical payment methods.(P<0.05).Multivariate linear regression analysis revealed that high school education or below,self-efficacy scores<24 points,unemployment,household income<5 000 yuan,out-of-pocket payments,and dialysis duration≥3 years were all high-risk factors for poor volume management behavior.Conclusion:MHD patients exhibit low levels of volume management behavior,which correlates with education level,self-efficacy,household income,and payment methods.Clinical interventions should be scientifically designed to improve these behaviors.