协议护理对腹膜透析病人容量负荷的影响  

Influence of negotiated care on volume load of patients undergoing peritoneal dialysis

作　　者：王兰[1] 骆素萍[1] 全蕾[1] 鲁新红[1] 汪涛[1] 

机构地区：[1]北京大学第一医院

出　　处：《护理研究》2005年第7期1169-1171,共3页Chinese Nursing Research

基　　金：院级护理课题资助;北京大学长江学者985基金(36-1)资助。

摘　　要：[目的]探讨协议护理对持续不卧床腹膜透析(CAPD)病人容量负荷的影响。[方法]对115例CAPD病人运用协议护理实行限制水盐摄入教育治疗3个月,统计并分析协议护理前后CAPD病人的容量负荷指标。[结果]有83例(72.1%)病人体重明显减轻(减轻2.73kg±2.87kg),收缩压降低1.26kPa±2.50kPa(9.48mmHg±18.75mmHg),病人的症状改善,病人对水盐控制的依从性显著提高。[结论]运用协议护理可以明显减轻CAPD病人的容量负荷,降低血压,减少降压药物的使用,并预防由于容量负荷引起的心血管并发症。Objective:To probe into the effect of negotiated nursing care on volume load of patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Method:A total of 115 CAPD patients were provided negotiated nursing care on sodium and water intake restriction education for three months. Then the volume load indexes of all patients were analyzed.Result:Totally 83 patients (72.1%) lost their weight obviously (2.73 kg±2.87 kg lessened). The systolic pressure of them lowered down 1.26 kPa±2.50 kPa(9.48 mmHg±18.75 mmHg) in average. Meanwhile, patients felt much better than before, and their compliance on water-sodium control was increased significantly. Conclusion:It showed that negotiated care could lessen the volume load of CAPD patients, lower their blood pressure, reduce the use of hypotensive drugs and prevent volume load induced cardiovascular complications of CAPD patients.

关 键 词：协议护理 持续不卧床腹膜透析(CAPD) 水盐控制 

分 类 号：R473.5[医药卫生—护理学]