集束化护理在腹膜透析血磷升高患者中的应用  

The application of intensive care in patients with elevated peritoneal dialysis

作　　者：张卫红[1] 沈麒云[1] 黄柳燕[1] 李黎梅[1] 杨娜 叶晶[1] 廖婧[1] 

机构地区：[1]上海中医药大学附属龙华医院肾病科,200032

出　　处：《国际护理学杂志》2018年第2期156-159,共4页international journal of nursing

基　　金：上海市护理学会科研基金项目（2014M5-B11）

摘　　要：目的探讨集束化护理对腹膜透析血磷升高患者血磷水平的影响。方法选取该院肾病科2016年1-6月门诊随访行腹膜透析且血磷升高的患者192例，随机分为对照组和观察组各96例。对照组采用常规护理模式，观察组运用集束化护理模式，包括个体化低磷饮食管理、充分性透析管理、规范服用磷结合剂管理三方面已经被临床证实有效的循证护理方法。结果观察组血磷水平降低明显，健康知识掌握程度和满意度明显高于对照组，与对照组比较，差异均有统计学意义（均P〈O．01）。结论采取集束化护理模式可降低腹膜透析患者血磷水平，提高患者的健康知识掌握程度和满意度。Objective To explore the effect of cluster nursing on the serum phosphorus level of patients with peritoneal dialysis. Methods A total of 192 patients with peritoneal dialysis and elevated blood phosphorus from the department of nephrology of Longhua Hospital of Shanghai University of Traditional Chinese Medicine in January to June 2016 were selected and were randomly divided into control group and observation group, 96 cases of each group. The control group adopted routine nursing mode. The observation group adopted the cluster nursing mode, including the in- dividualized low-phosphorus diet management, the management of the adequacy of the dialysis, and the management of phosphorus binding agent. All of them had been clinically proven to be effective evidence-based nursing methods. Results The level of blood phosphorus was decreased in the observation group, and the degree and satisfaction of health knowledge were significantly higher than that in the control group. Compared with the control group, the differ- ence was statistically significant （P〈O. O1 ） Conclusions level of the patients with peritoneal dialysis and improve the The intensive care model can reduce the blood phosphorus degree of health knowledge and satisfaction.

关 键 词：集束化护理 腹膜透析 血磷升高 

分 类 号：R473.5[医药卫生—护理学]