康复计划对腹膜透析病人社会回归的影响

目的:通过对腹膜透析患者实施以五“E”为中心的康复计划,提高其生活质量,最终达到社会回归。方法:对腹膜透析患者进行包括体液控制、饮食指导、运动康复、心理辅导4个方面的康复治疗,观察治疗12周前后患者的生活状态变化,将患者分为3级。结果:实施康复治疗前后患者生活状态等级构成比分别为:治疗前1级:50%,2级:40.6%,3级:9.4%;治疗后1级:14.1%,2级:28.1%,3级:57.8%,经检验差异有显著性意义(P<0.001)。治疗后有37例患者达到3级,其中6例重新参加工作,2例从事志愿者活动,其余患者能象同年龄的正常人一样生活。结论:以五“E”为中心的康复计划可提高腹膜透析患者的生活质量,促进社会回归。

Effects of a rehabilitation program on the social status of peritoneal dialysis patients

Objective:To assess the effects of a rehabilitation program dominated by five"E"on social status in peritoneal dialysis patient.Method:The life status of the patients were divided into three grades.All patients underwent rehabilitation program including fluid control,dietary restriction,exercise and psychological counsel for12weeks.Result:Before introducing the rehabilitation program,the numbers of patients in grade1,2,3were50%,40.6%,9.4%,respectively?After12weeks of the rehabilitation program,the number of patients in grade1,2,3were14.1%,28.1%,57.8%,respectively.Patients life status improved significantly,P<0.001.After the rehabilitation program,the number of patients in grade3increased from six to thirty-seven,six of whom returned to work again,two patients engaged in volunteer work,and the others lived as healthy people.Conclusion:Rehabilitation program dominated by five"E"can improve the social status in peritoneal dialysis patients.Author's address Institute of Nephrology,The First Hospital,Peking University,Beijing,100034