延续性护理模式对于连续腹膜透析患者护理效果的影响分析
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摘要
目的探讨延续护理模式对于连续腹膜透析患者护理效果的具体影响。方法从该院2016年2月—2017年3月收治的连续腹膜透析患者中方便抽取64例纳入该次研究,将其随机分为观察组与对照组,各32例。对照组采取常规护理措施干预,观察组则在常规护理的基础上采取延续性护理模式干预,比较两组患者的依从性、护理前后血常规、ESCA与SF-36量表总分以及腹膜炎发生率与半年再住院比率。结果该次研究的观察组患者的依从率为96.88%明显高于对照组87.50%(χ2=6.346 1,P<0.05);护理后,观察组的血常规明显优于对照组(P<0.05),观察组的ESCA、SF-36量表总分明显比对照组要高(P<0.05),观察组腹膜炎发生率以及半年再住院比率分别为3.13%、3.13%均低于对照组28.13%、25.00%,差异有统计学意义(χ2=7.368 2,P<0.05)。结论延续性护理模式对连续腹膜透析患者的依从性、护理前后血常规、ESCA与SF-36量表总分以及腹膜炎发生率与半年再住院比率均有明显的改善效果,值得临床推广。
Objective This paper tries to explore the effect of continuous nursing mode on the nursing effect of continuous peritoneal dialysis patients. Methods From February 2016 to March 2017, 64 patients with continuous peritoneal dialysis in this hospital were included in this study, and they were randomly divided into observation group and control group, with 32 cases in each group. The control group received routine nursing intervention, while the observation group received continuous nursing intervention on the basis of routine nursing. The compliance, blood routine, ESCA and SF-36 scale scores, peritonitis incidence and re hospitalization rate in the two groups were compared between the two groups before and after nursing. Results In this study, the compliance rate of patients in the observation group was 96.88%, higher than the control group of 87.50%(χ2=6.346 1,P<0.05); after nursing care, observation group of blood was significantly better than the control group(P<0.05), the observation group ESCA, SF-36 scale were significantly higher than the control group(P<0.05), the incidence of peritonitis the first half of the readmission rates of the observation group were 3.13%, 3.13%, lower than the control group of 28.13% and 25.00%, the difference was statistically significant(χ2=7.368 2,P<0.05). Conclusion The continuity of nursing model for continuous peritoneal dialysis patients' compliance, blood routine before and after care, ESCA and SF-36 total score and peritonitis incidence and rehospitalization rate six months have significant improvement, it is worth clinical promotion.
Objective This paper tries to explore the effect of continuous nursing mode on the nursing effect of continuous peritoneal dialysis patients. Methods From February 2016 to March 2017, 64 patients with continuous peritoneal dialysis in this hospital were included in this study, and they were randomly divided into observation group and control group, with 32 cases in each group. The control group received routine nursing intervention, while the observation group received continuous nursing intervention on the basis of routine nursing. The compliance, blood routine, ESCA and SF-36 scale scores, peritonitis incidence and re hospitalization rate in the two groups were compared between the two groups before and after nursing. Results In this study, the compliance rate of patients in the observation group was 96.88%, higher than the control group of 87.50%(χ2=6.346 1,P<0.05); after nursing care, observation group of blood was significantly better than the control group(P<0.05), the observation group ESCA, SF-36 scale were significantly higher than the control group(P<0.05), the incidence of peritonitis the first half of the readmission rates of the observation group were 3.13%, 3.13%, lower than the control group of 28.13% and 25.00%, the difference was statistically significant(χ2=7.368 2,P<0.05). Conclusion The continuity of nursing model for continuous peritoneal dialysis patients' compliance, blood routine before and after care, ESCA and SF-36 total score and peritonitis incidence and rehospitalization rate six months have significant improvement, it is worth clinical promotion.
引文
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[9]史兰英,芮静娟,许建国.延续性护理在腹膜透析病人护理中的应用[J].全科护理,2016(2):140-142.
[10]张胜琴,廖巧珍.延续性护理模式对于连续腹膜透析护理效果的影响[J].中外医学研究,2017(30):112-113.
[2]罗怡欣,黄燕林.奥马哈系统护理模式对持续不卧床腹膜透析患者营养状态和透析充分性的影响[J].广东医学,2017(19):3055-3059.
[3]杨月清,陈湘华,杨璞,等.腹膜透析治疗肾病综合征伴急性肾损伤患者的延伸护理[J].护理实践与研究,2017(18):39-40.
[4]张峥梅,谭明磊.腹膜透析患者行延续性护理对患者自我效能及并发症风险的影响[J].现代医学,2017(7):1023-1027.
[5]王雪剑.延续性护理在慢性肾衰竭患者腹膜透析中的应用效果[J].包头医学院学报,2017(4):101-102.
[6]蒋喜平.延续性护理在系统性红斑狼疮合并急性肾损伤患者中的应用[J].齐鲁护理杂志,2017(3):6-8.
[7]张慧芳.延续性护理模式对于连续腹膜透析护理效果的影响[J].中国卫生标准管理,2016(22):234-235.
[8]王雪剑.延续性护理应用于腹膜透析患者的临床研究[J].中国实用医药,2016(10):256-257.
[9]史兰英,芮静娟,许建国.延续性护理在腹膜透析病人护理中的应用[J].全科护理,2016(2):140-142.
[10]张胜琴,廖巧珍.延续性护理模式对于连续腹膜透析护理效果的影响[J].中外医学研究,2017(30):112-113.