护理干预对腹膜透析患者生存质量的影响1.doc

护理干预对腹膜透析患者生存质量的影响 河南省南阳市中心医院肾病科 高宏华 473009 摘要 目的 探讨护理干预对持续性非卧床性腹膜透析（CAPD）患者生存质量的影响。方法 将2003年1月～2007年6月出院后行CAPD患者40例随机分为对照组（22）例和观察组（18）例，对照组由各班护士对患者及家属进行腹膜透析规范化培训，而观察组则由专职腹膜透析护士负责对患者及家属进行规范化培训和定期家庭随访。比较两组术后6个月末和12个月末时导管出口感染、腹膜炎、引流不畅、心血管事件发生率及主观综合性营养评估（SGA评分）。结果 术后6个月末时，观察组患者导管出口感染率、腹膜炎发生率、引流不畅发生率明显低于对照组，有统计学差异（P＜0.01）。术后12个月末时，观察组导管出口感染率、腹膜炎发生率、引流不畅发生率、心血管事件发生率均明显低于对照组，观察组主观综合性营养评估（SGA评分）明显优于对照组，有统计学差异（P＜0.01）。结论 对CAPD患者进行护理干预能降低并发症的发生率，改善患者营养状况，从而提高患者生存质量。 关键词 护理干预 腹膜透析 生存质量 Nursing Intervention on peritoneal dialysis patients quality of life Abstract Objective Discussion of continuing nursing intervention of non-ambulatory peritoneal dialysis (CAPD) patients quality of life. Methods Will be January 2003 to June 2007 and discharged later, 40 cases of CAPD patients were randomly divided into control group (22) and with the observation group (18) of the control group by the class of nurses to patients and their families on peritoneal dialysis standardized training, and the observation group from full-time nurses are responsible for peritoneal dialysis patients and their families for standardized training and regular follow-up family. Comparison of the two groups after the end of 6 and 12 at the end of the export catheter infections, peritonitis, poor drainage, and the incidence of cardiovascular events subjective comprehensive nutritional assessment (SGA score). Results After six at the end of the observation group with catheter export infection, the incidence of peritonitis, poor drainage rate was significantly lower than the control group, respectively (P 0.01). After 12 at the end of the observation group catheter export infection, the incidence of peritonitis, the incidence of poor drainage, and the incidence of cardiovascular events were significantly lower than the control group, the Observer Group subjective comprehensive nutritional assessment (SGA score) was significantly better than control group, a significant difference (P 0.01). Conclusion C