摘要
目的探讨模拟家庭病房在农村文盲腹膜透析置管患者培训管理中的应用效果。方法选择2013年1月至2016年12月在我科行腹膜透析置管的农村文盲患者80例为研究对象,采用随机数字表法,将上述患者分为试验组和对照组各40例,其中对照组接受传统标准方式培训,试验组采取模拟家庭病房为载体培训,2组患者均由同一腹膜透析专科护士进行培训。对照组患者采取传统的7 d培训课程进行培训,试验组根据文盲患者的特点,建立模拟家庭病房依托实物、图片为载体对患者进行以讲解-示范-模仿-案例解析-反馈等互动学习模式,进行为期5~7 d培训。观察12个月,统计并分析2组患者腹膜炎和出口处感染发生例数、水肿程度、血压情况、门诊随访依从性及实验室检查指标的变化。结果试验组患者发生腹膜炎、出口处感染和水肿分别为5、2、27例,对照组分别为13、10、34例,2组比较差异有统计学意义(χ2=4.126、5.847,Z=2.382,均P<0.05)。试验组患者收缩压和舒张压分别为(131±13)、(86±9)mmHg(1 mmHg=0.133 kPa),对照组收缩压和舒张压分别为(140±15)、(92±11)mmHg,2组比较差异有统计学意义(t=2.789、2.595,均P<0.05)。门诊随访情况依从性好试验组33例,对照组27例,2组比较差异有统计学意义(χ^2=4.551,P<0.05)。结论应用模拟家庭病房对农村文盲腹膜透析置管患者实施教育培训,调动了患者的参与性和提升了认知水平,提高了治疗的依从性,从而有效提高了患者的腹膜透析效果和生命质量。
Objective To explore the effect of simulated family ward in training and management of illiterate rural peritoneal dialysis catheter patients.Methods Between January 2013 and December 2013 in our department,80 patients with peritoneal dialysis catheter rural illiteracy as the research object,using the random number table method,the patients can be divided into the experimental group and control group,40 cases of control group accepted traditional way standard training,the experimental group adopted simulation training family ward as the carrier,two groups of patients were carried out by the same pd specialist nurse training,the control group patients take traditional 7 days training courses for training,the experimental group according to the characteristics of the illiterate patients,an interactive learning mode of explanation-demonstration-imitation-case analysis-feedback and so on was established in the simulated family ward based on real objects and pictures.The training lasted for 5-7 days.After 12 months of observation,the changes of peritonitis and outlet infection cases,edema,blood pressure,outpatient follow-up compliance and laboratory examination indexes in the two groups were statistically analyzed.Results There were 5 cases of peritonitis,2 cases of exit infection and 27 cases of edema in the experimental group,and 13 cases,10 cases and 34 cases in the control group,respectively.The difference between the two groups was statistically significant (χ2=4.126,5.847,Z=2.382,all P<0.05).The systolic blood pressure and diastolic blood pressure in the experimental group were (131± 13) and (86± 9) mmHg,respectively,and those in the control group were (140±15) and (92±11) mmHg,respectively.The differences between the two groups were statistically significant (t=2.789 and 2.595,all P<0.05).Compliance of outpatient follow-up was good in 33 cases in the experimental group and 27 cases in the control group,and the difference between the two groups was statistically significant (χ^2=4.551,P<0.05).Conclusions The education and training of rural illiterate patients with peritoneal dialysis catheterization in simulated family wards has mobilized the patients' participation,improved their cognitive level,and improved their treatment compliance,thus effectively improving the patients' peritoneal dialysis effect and quality of life.
作者
陈萍丽
彭红霞
Chen Pingli;Peng Hongxia(Department of Nephrology,the People′s Hospital of Ganzhou City,Jiangxi Province,Ganzhou 341000,China)
出处
《中国实用护理杂志》
2019年第24期1873-1877,共5页
Chinese Journal of Practical Nursing
关键词
腹膜透析
农村文盲人口
模拟家庭病房
教育培训
Peritoneal dialysis
Illiterate population in rural areas
Simulated family ward
Education and training
