个体化全程护理干预在腹膜透析治疗中的应用效果

目的探讨个体化全程护理干预在腹膜透析治疗中的应用效果。方法选取2017年6月至2017年11月来我院进行治疗的44例腹膜透析为对照组,实施常规护理;选取2017年12月至2018年5月的44例腹膜透析患者为研究组,实施个体化全程护理。比较两组患者入院时及出院6个月后的自我管理能力、肾功能指标、对腹膜透析相关知识的掌握情况及腹膜炎发生情况。结果出院6个月后,研究组患者的病情监测、并发症管理、透析操作、饮食与控制水盐、服药依从性评分均高于入院时及对照组(P<0.05);出院6个月后,两组患者的血肌酐、血尿素氮水平及尿白蛋白排泄率均降低,且研究组低于对照组(P<0.05);出院6个月后,两组患者的饮食控制、规范操作、药物治疗、管道出口护理、自我检测、无菌观念、并发症观察评分均升高,且研究组高于对照组(P<0.05);观察组的腹膜炎发生率低于对照组(P<0.05)。结论个体化全程护理干预应用于腹膜透析中可提升患者的自我管理能力及腹膜透析相关知识的掌握程度,改善肾功能,降低腹膜炎发生率,值得临床推广应用。

Application effect of individualized whole-course nursing intervention in peritoneal dialysis treatment

Objective To investigate the application effect of individualized whole-course nursing intervention in peritoneal dialysis treatment.Methods From June 2017 to November 2017,44 patients with peritoneal dialysis treated in our hospital were selected as control group,and given conventional nursing.From December 2017 to May 2018,44 patients with peritoneal dialysis were selected as study group,and given individualized whole-course nursing.The self-management ability,renal function indexes,the mastery of related knowledge of peritoneal dialysis at admission and 6 months after discharge and the occurrence of peritonitis were compared between the two groups.Results At 6 months after discharge,the condition monitoring,complication management,dialysis operation,diet and control of water and salt and drug compliance scores of patients in the study group were higher than those at admission and in the control group(P<0.05).At 6 months after discharge,the levels of serum creatinine,blood urea nitrogen and urinary albumin excretion rates of the two groups decreased,and those in the study group were lower than the control group(P<0.05).At 6 months after discharge,the scores of diet control,standard operation,drug treatment,pipeline export nursing,self-test,sterility concept and complications observation in the two groups increased,and those in the study group were higher than the control group(P<0.05).The incidence of peritonitis in the observation group was lower than that in the control group(P<0.05).Conclusion Individualized whole-course nursing intervention application in peritoneal dialysis can improve the self-management ability,mastery of related knowledge of peritoneal dialysis and the renal function of patients,and reduce the incidence of peritonitis,which is worthy of clinical popularization and application.