摘要
目的探讨基于5E模式的个体化管理对尿毒症患者腹膜透析相关性腹膜炎的影响。方法将110例病情稳定的腹膜透析患者随机分为对照组和实验组,各50例。对照组患者接受常规护理;实验组患者在接受常规护理的基础上进行为期1年的个体化护理干预,包括鼓励、教育、锻炼、工作及评估五大部分。观察并比较分析两组患者干预前后腹膜炎的发生情况、腹膜透析操作行为、炎症相关症状等的情况。结果共109例患者(实验组55例,对照组54例)完成研究。干预后实验组腹膜炎发生率低于对照组,差异有统计学意义(χ~2=3.939,P=0.037)。干预前,两组患者操作规范(χ~2=0.019,P=0.889)、炎症症状(χ~2=0.324,P=0.569)等情况差异无统计学意义,干预后,实验组患者操作规范(χ~2=5.928,P=0.013)、炎症症状(χ~2=7.210,P=0.007)等情况优于对照组,差异有统计学意义。结论通过实施基于5E模式的个体化护理干预,可以减少炎症相关症状的出现和腹膜透析相关性腹膜炎的发生,提高患者腹膜透析操作的规范性。
Objective To study the effect of individual management based on the 5E rehabilitation pro- gram on peritoneal dialysis （PD）-related peritonitis in uremic patients undergoing PD. Methods A total of 110 PD patients were recruited and randomly divided into two groups： the control group （n=54） treated with routine care procedures and the experimental group （n=55） treated with individual management including en- couragement, education, exercise, employment and evaluation （5E） in addition to the routine care procedures. After one year, peritonitis, PD operation behavior, and inflammation-related symptoms before and after the in- tervention were compared between the two groups. Results A total of 109 PD patients were enrolled in this study. The prevalence of peritonitis was lower in the experimental group than in the control group （t=3.939,p=0.037）. PD operation behavior and inflammation-related symptoms were statistically insignificant （t=3.939, P=0.037 for PD operation behavior; χ2=0.019, P=0.889 for inflammation-related symptoms） before the interven- tion between the two groups, but were better in the experimental group than in the control group （χ2=5.928, P=0.013 for PD operation behavior; χ2=7.210, P=0.007 for inflammation-related symptoms）. Conclusion The individual management based on the 5E rehabilitation program can reduce inflammation-related symptoms and PD-related peritonitis, and improve PD operation in PD patients.
出处
《中国血液净化》
2017年第6期403-406,共4页
Chinese Journal of Blood Purification
基金
广西壮族自治区科技厅自然科学基金课题(编号:桂科字0832116
合同号:305606)
广西壮族自治区卫生厅自筹经费科研课题(合同号:Z2014081)
关键词
腹膜透析
5E模式
腹膜炎
个体化管理
5E program
Peritoneal dialysis
Peritonitis
Individual management
