透析前教育对终末期肾病患者透析时机选择的研究

目的 研究探讨透析前教育对终末期肾病(ESRD)患者透析时机选择的影响.方法 选择血肌酐(Scr)＞442μmol/L、内生肌酐清除率(Ccr)＜20 ml/min的慢性肾功能衰竭(CRF)患者129例,随机分为实验组70例和对照组59例.实验组行规范化透析前教育,对照组行常规宣教.比较2组患者入组时基本状况、透析时机的选择、开始透析及透析后6,12个月的抑郁状况及生活质量.结果 2组患者入组时年龄、性别、文化程度、医疗付费方式、就业、Scr、Ccr均无显著差异,透析时机的选择实验组Ccr为(9.49±0.77)ml/min,对照组Ccr为(4.54±1.79)ml/min,2组比较有显著差异,开始透析及透后6,12个月2组的抑郁状况及生活质量比较有显著差异.结论 加强透析前教育有利于ESRD患者适时开始透析并可有效提高患者透析后的生活质量.

Abstract：

Objective To investigate the predialysis education on dialysis timing of patients with end-stage renal disease (ESRD). Methods 129 patients with chronic renal failure (CRF) and serum creatinine(Scr)＞442μmol/L, endogenous creatinine clearance rate (Ccr)＜20 ml/min were randomly divided into the experimental group(70 cases) and the control group(59 cases), the experimental group received predialysis education, the control group received routine care.The basic situation, dialysis timing, depression and quality of life on the 6th,12th months after dialysis were assessed. Results There was no significant difference in age, sex, education background, health care payment manners, employment, serum creatinine, endogenous creatinine clearance rate before education.For the timing of dialysis, Ccr for the experimental group was (9.49 ± 0.77)ml/min, Ccr for the control group was (4.54 ±1.79) ml/min,the difference was significant, depression and quality of life between two groups after 6,12 months of dialysis was also statistically different. Conclusions Strengthening predialysis education is conducive to a timely start of dialysis and can effectively improve the quality of life in patients with ESRD.

Research in predialysis education for dialysis timing in patients with end-stage renal disease

Objective To investigate the predialysis education on dialysis timing of patients with end-stage renal disease (ESRD). Methods 129 patients with chronic renal failure (CRF) and serum creatinine(Scr)＞442μmol/L, endogenous creatinine clearance rate (Ccr)＜20 ml/min were randomly divided into the experimental group(70 cases) and the control group(59 cases), the experimental group received predialysis education, the control group received routine care.The basic situation, dialysis timing, depression and quality of life on the 6th,12th months after dialysis were assessed. Results There was no significant difference in age, sex, education background, health care payment manners, employment, serum creatinine, endogenous creatinine clearance rate before education.For the timing of dialysis, Ccr for the experimental group was (9.49 ± 0.77)ml/min, Ccr for the control group was (4.54 ±1.79) ml/min,the difference was significant, depression and quality of life between two groups after 6,12 months of dialysis was also statistically different. Conclusions Strengthening predialysis education is conducive to a timely start of dialysis and can effectively improve the quality of life in patients with ESRD.