循证护理在预防腹膜透析并发症中的应用

目的探讨循证护理在预防腹膜透析并发症中的应用价值。方法将2007年83例行腹膜透析的患者设为常规护理组,2008年82例行腹膜透析的患者设为循证护理组,对出现的并发症进行临床评估,应用循证护理思维加以具体指导,制定护理干预措施,并对干预结果进行分析。结果常规组/循证组中出血者6例/4例,腹痛腹胀者8例/4例,腹透管周围漏液者2例/0例,腹膜透析液引流不畅者14例/6例,皮肤出口及隧道感染者4例/1例,腹膜炎者6例/2例,两组患者并发症发生率比较具有统计学差异（P〈0.05）。结论采取循证护理能有效减少腹膜透析并发症的发生,改变了护理人员经验式的护理观念和传统护理模式,解决了临床护理工作中遇到的问题,提高了护理质量。

The application of evidence-based nursing in the prevention of peritoneal dialysis-related complications

Objective To investigate the efficacy of application of evidence-base nursing in peritoneal dialysis(PD) patients to prevent PD-related complications.Methods A series of 83 PD patients enrolled in 2007 were set as the routine nursing group(RN group).Another 82 PD patients enrolled in 2008 were set as the evidence-based nursing group(EBN group),with PD-related complications assessed and then managed according to evdience-based nursing principles.Clinical outcomes were analyzed.Results Hemorrhagic complicatons occurred in 6 patients in the RN group and 4 4 in the EBN group.In addition,the ratio of abdominal pain/distention,dialysate leakage,inadequate drainage of peritoneal fluid,catheter exit and tunnel infection and peritonitis between the RN group and the ENB group was 8 to 4,2 to 0,14 to 6,4 to 1 and 6 to 2 respectively.The incidence of complications between these two groups was statistically different(P<0.05).Conclusion The application of evidence-based nursing could effectively reduce the incidence of PD-related complications.Evidence-based nursing is helpful to modify routine modality of nursing,to solve problems in clinical practices and to improve the quality of nursing.