摘要
目的探析住院终末期肾脏病患者行自动化腹膜透析(APD)治疗常见问题及处理对策。方法选取2019年3月-2021年10月在我院接受治疗的自动化腹膜透析(APD)治疗患者60例,随机分为两组,对照组进行常规护理,研究组进行医护一体化护理。比较两组生存率、不良事件发生率、报警发生率、健康认知量表评分及生存率。结果与对照组比较,研究组血红蛋白、血尿酸与血白蛋白水平更高,心率、收缩压、舒张压更低,两组比较,差异有统计学意义(P<0.05);对照组、研究组不良事件发生率分别为32.1%、12.5%,与对照组比较,研究组不良事件发生率更低(P<0.05);与对照组比较,研究组健康认知量表评分和生存率更高(P<0.05);研究组、对照组报警发生率分别为28.6%、6.2%,与对照组比较,研究组报警发生率更低(P<0.05)。结论对自动化腹膜透析(APD)治疗患者进行医护一体化护理,可降低自动化腹膜透析机报警发生率,进而可保证治疗安全性,对提高认知量表评分和生存率具有非常重要作用。
Objective:To explore the common problems and countermeasures of automated peritoneal dialysis(APD)in hospitalized patients with end-stage renal disease.Methods:A total of 60 APD patients treated in our hospital from March 2019 to October 2021 were selected,and were randomly divided into two groups.The control group received routine nursing and the study group received integrated nursing.The survival rate,adverse event rate,alarm rate,health cognitive scale score and survival rate were compared between the two groups.Results:Compared with the control group,the levels of hemoglobin,blood uric acid,and blood albumin,and lower heart rate,systolic blood pressure,and diastolic blood pressure were higher in the study group.There was statistically significant difference between the two groups(P<0.05).The incidence of adverse events was 32.1%and 12.5%,respectively.Compared with the control group,the incidence of adverse events was lower in the study group(P<0.05);compared with the control group,the score and survival rate of health awareness scale in the study group were higher(P<0.05).The alarm incidence of the study group and the control group were 28.6%and 6.2%,respectively.Compared with the control group,the alarm incidence of the study group was lower(P<0.05).Conclusion:The integrated nursing on patients with APD can reduce the alarm incidence of APD machines,thus ensuring the safety of treatment,which plays a very important role on improving cognitive scale scores and survival rates.
作者
钱云
康莉
薛志杰
梁亚楠
QIAN Yun;KANG Li;XUE Zhi-jie;LIANG Ya-nan(The Second Hospital of Tianjin Medical University,Tianjin 300211,China)
出处
《透析与人工器官》
2023年第2期81-84,共4页
Chinese Journal of Dialysis and Artificial Organs
关键词
终末期肾脏病
住院
自动化腹膜透析
end-stage renal disease
in hospital
automated peritoneal dialysis
