自我管理教育对腹膜透析病人容量状况的影响  

Influence of self-management education on capacity state of peritoneal dialysis patients

作　　者：苏春燕[1] 郑修霞[2] 马艳秋[1] 孙玲华[1] 汪涛[1] 

机构地区：[1]北京大学第三医院 [2]北京大学护理学院

出　　处：《护理研究（上旬版）》2007年第3期589-591,共3页Chinese Nursing Researsh

基　　金：中华人民共和国教育部长江学者奖励计划;教育振兴行动计划专项基金(985工程-36-1);北京大学"211工程"循证医学学科群科研项目(38-18)。

摘　　要：[目的]了解腹膜透析病人经自我管理教育后水盐控制及容量改善状况。[方法]选择70例规律腹膜透析超过3个月的病人,进行为期6个月的自我管理教育,比较干预前后病人水盐控制及容量状况变化情况。[结果]接受自我管理6个月后,病人总液体清除量、总钠排出量、血清钠浓度均明显下降(P<0.01);且体重下降,细胞外液与细胞内液之比下降。[结论]对腹膜透析病人进行自我管理教育,可提高腹膜透析病人水盐控制的依从性,改善病人的容量状况。Objective： To get information of watersalt control and capacity improvement status of peritoneal dialysis patients after self - management education. Method： A total of 70 patients undergoing regular peritoneal dialysis over three months were selected and provided self - management education for 6 months. Then both watersalt control and capacity state of them were compared before and after treatment. Result： After 6 months＇ self- management education, the total fluids cleaning quantity, total sodium clearance quantity and serum sodium concentration of patients lowered obviously （ P 〈 0.01 ）. The radio between extracellular fluids and intracellular fluids was decreased. Conclusion： To carry out self - management education for patients undergoing peritoneal dialysis could enhance their compliance on water - electrolyte control and may improve the capacity state of them as well.

关 键 词：持续不卧床腹膜透析 自我管理教育 水盐控制 客量状况 

分 类 号：R473.5[医药卫生—护理学]