腹膜透析患者置管术后早期活动安全性和舒适度的研究  

The Study of Early Active Safety and Comfort After Peritoneal Dialysis Catheter in Patients

作　　者：阚蓉英[1] 田峰[1] 

机构地区：[1]四川省医学科学院四川省人民医院血液透析中心,成都610072

出　　处：《中外医疗》2011年第24期4-5,7,共3页China & Foreign Medical Treatment

摘　　要：目的探讨腹膜透析患者置管术后早期开始活动安全性和舒适度的影响。方法利用观察与问卷调查法,对比腹膜透析置管术后对照组(术后绝对卧床3d,第1天平卧位,第2、3天可取半坐卧位或坐位)和实验组(术后平卧6h,卧床24h,第2天室内活动,第3天根据腹部伤口情况适当增加活动)对Tenckhoff腹膜透析管的位置等并发症和舒适度的影响。结果术后并发症的情况2组差异无统计学意义(P>0.05)。术24、48h及72h患者疼痛的程度及强度2组差异有显著意义,实验组疼痛评分明显低于对照组(P<0.05)。术后48h内实验组累计睡眠时间高于对照组,2组间差异有高度统计学意义(P<0.01)。结论腹膜置管术后早期开始活动不会增加术后并发症的发生,且有利于提高患者的舒适度。Objective Explore peritoneal dialysis patients catheter early postoperative activities on the influence of safety and comfort.Methods Contrast peritoneal dialysis catheter postoperative two groups-compared group（Postoperative absolute lie in bed for three days,the first day peripharyngeal,the second and three days desirable semi-fowler＇s or seat） and study group（Postoperative PingWo 6h,lie in bed,the next 24 h indoor activity,the third day according to abdominal wound situation to appropriately increase the activity）to Tenckhoff peritoneal dialysis tube position of complication and measurable effect.Results The postoperative complications of two groups of difference was statistically significant（P0.05）.Operation 24h 48h 72h patients,and the amount of pain and strength of two groups of differences are significant experimental pain score obviously lower than in control group（P0.05）.Postoperative 48h within the group total sleep time higher than those in the control group,the difference between the two groups have highly statistically significant（P0.01）.Conclusion Peritoneal catheter early postoperative bed activities do not increase the postoperative complications happened,and is helpful to improve the patient comfort.

关 键 词：腹膜透析 置管 并发症 舒适度 早期活动 

分 类 号：R473.5[医药卫生—护理学]