摘要
目的探讨健康教育对腹膜透析患者生活质量及腹膜炎预防的影响。方法选择218例腹膜透析患者,按治疗时间分为观察组117例和对照组101例,观察组在对照组处理措施的基础上加健康教育,采用SF-36量表评价干预前后生活质量,观察腹膜炎及其他并发症的发生,分析腹膜炎诱因。结果干预后观察组SF-36量表的躯体疼痛、生理职能、生理健康、心理健康、总体健康、精力、情感职能、社会功能维度评分均呈上升趋势,生活质量得到显著改善(P<0.05),对照组则改善并不明显(P>0.05),观察组干预6个月和12个月各维度得分均显著高于对照组(P<0.05)。两组随访12个月内腹膜炎发生率分别为6.84%和18.81%,观察组腹膜炎总发生率显著低于对照组(P<0.05),且随时间延长而升高。观察组患者的腹膜炎主要诱因主要是消化系统疾病,观察组无菌原则不合格、个人卫生不良、导管出口感染、其他部位感染比例都显著低于对照组(P<0.05)。观察组其他腹膜透析并发症发生率均显著低于对照组(P<0.05)。结论健康教育有效提高腹膜透析患者生活质量及预防并发症的知识,降低腹膜炎发生率。
Objective To investigate health education on the quality of life and prevention of peritonitis in peritoneal dialysis patients. Methods Total of 218 cases of peritoneal dialysis patients were divided into two groups accorded to duration, observation group（117 cases） and control group（101 cases）, the observation group plus health education treatment measures above contral group, used the SF-36 scale evaluation of the quality of life before and after intervention was observed peritonitis and other complications, analyzed peritonitis incentives. Results The SF-36 scale body pain,physical function, physical health, mental health, general health, energy, emotional function, social function scores of the upward trend in quality of life after intervention in observation group were significantly improved（P〈0.05）,that in the control group were not significant improvement（P〉0.05）, the observation group intervention for 6 months and 12 months each dimension scores were significantly higher（P〈0.05）. Within 12 months of follow-up peritonitis rates in two group were 6.84% and 18.81%, the overall incidence of peritonitis observation group were significantly lower than the control group（P〈0.05）, the incidence increasesd with time. Observation group of patients with peritonitis main incentives were digestive diseases, unqualified aseptic tehnique poor personal hygiene, catheter exit infection, other parts of the proportion of infections were significantly lower than the control group（P〈0.05）. Observation group of other peritoneal dialysis complication rate was significantly lower than the control group（P〈0.05）. Conclusion Health education effectively improve the knowledge of the peritoneal dialysis patient＇s quality of life and prevent complications and reduce the incidence of peritonitis.
出处
《中国现代医生》
2014年第20期89-92,共4页
China Modern Doctor
基金
国家自然科学基金(30970835/H1805)
关键词
腹膜透析
健康教育
生活质量
腹膜炎
Peritoneal dialysis
Health education
Quality of life
Peritonitis
