综合护理干预对维持性腹膜透析患者营养状况及生活质量的影响

目的：探讨综合护理干预对维持性腹膜透析患者营养状况及生活质量的影响。方法选取2015年1~9月期间在我院肾内科行维持性腹膜透析的80例患者，按随机数字法将其分为对照组(常规护理)和观察组(综合护理)，各40例，根据营养不良-炎症评分(MIS评分)、SF-36健康调查简表(SF-36)，评估和比较两组患者干预前后的营养状况、生化指标改善情况以及生活质量各维度得分变化情况，同时比较两组患者的腹膜炎等并发症发生率。结果与对照组比较，观察组患者护理后的MIS评分明显降低(8.1±1.2)分vs (5.8±0.7)分]；体质量指数(20.4±3.1) kg/m2 vs (22.8±2.4) kg/m2]、血清白蛋白(37.8±4.7) g/L vs (42.1±5.3) g/L]、血红蛋白(96.9±10.4) g/L vs (105.3±12.2) g/L]水平均明显提高，差异均有统计学意义(P<0.05) g/L；观察组患者SF-36量表的生活质量总分为(428.7±43.2)分，明显高于对照组的(322.3±36.5)分，差异有统计学意义(P<0.05)；观察组患者的腹膜炎并发症发生率为2.5%(1/40)，明显低于对照组的20.0%(8/40)，差异有统计学意义(P<0.05)。结论综合护理干预能够明显改善维持性腹膜透析患者营养状况，提升患者的生活质量。

Effect of comprehensive nursing on nutritional status and life quality in patients with continuous peritoneal dialysis

Objective To study the effect of comprehensive nursing on nutritional status and life quality in pa-tients with continuous peritoneal dialysis (CPD). Methods Eighty patients with CPD in the Department of Nephrology in our hospital from Jan. 2015 to Sep. 2015 were selected and randomly divided into the control group (routine nursing, n=40) and the observation group (comprehensive nursing, n=40) based on the random number table. Before and after in-tervention, the improvements of nutritional status scores and biochemical index, and the changes of life quality each di-mension score in two groups were evaluated and compared according to the malnutrition inflammation score (MIS) and the MOS 36-item short form health survey (SF-36). The incidences of complications such as peritonitis in two groups were compared. Results Compared with the control group, the scores of MIS were significantly decreased in the ob-servation group (5.8±0.7) vs (8.1±1.2)]. The levels of body mass index (22.8±2.4) kg/m2 vs (20.4±3.1) kg/m2], serum albumin (42.1±5.3) g/L vs (37.8±4.7) g/L] and hemoglobin (105.3±12.2) g/L vs (96.9±10.4) g/L] were significantly increased after nursing in the observation group (P<0.05). The total score of life quality after nursing in the observa-tion group weas significantly higher than that in the control group (428.7±43.2) g/L vs (322.3±36.5) g/L, P<0.05]. The incidence of peritonitis in the observation group was significantly lower than that in the control group 2.5%(1/40) vs 20.0% (8/40), P<0.05]. Conclusion Comprehensive nursing can significantly increase the nutritional status and im-prove the life quality for patients with continuous peritoneal dialysis.