实施腹透患者照护性参与自我管理降低腹透相关性腹膜炎的研究  

Reduction of peritoneal dialysis-associated peritonitis by caregiving participatory self-management in patients with peritonitis

作　　者：孙晓敏[1] 庄勤 汪虹[1] 许方蕾[1] SUN Xiaomin;ZHUANG Qin;WANG Hong;XU Fanglei(Department of Nursing,Tongji Hospital Affiliated to Tongji University,Shanghai 200065,China)

机构地区：[1]同济大学附属同济医院护理部,上海200065

出　　处：《外科研究与新技术》2020年第1期63-66,共4页Surgical Research and New Technique

摘　　要：目的探讨实施腹透患者照护性参与自我管理,对降低其腹透相关性腹膜炎的效果。方法选取2017年1月-2017年12月腹透门诊建档行规律随访的125例居家腹透患者作为对照组,采用常规门诊随访和健康教育指导。2018年1月-2018年12月腹透门诊建档行规律随访的130例居家腹透患者作为干预组,在常规门诊随访和健康宣教指导基础上实施腹透患者照护性参与自我管理,比较实施腹透患者照护性参与自我管理前后,两组患者腹透相关性腹膜炎的发生情况。结果通过实施腹透患者照护性参与自我管理后,腹透相关性腹膜炎发生率由实施前70.38个病人月降为101.84个病人月,差异有统计学意义(P<0.05)。因操作性及肠源性导致发生腹透相关性腹膜炎也由实施前9例(7.2%)、10例(8.0%)分别下降至2例(1.5%)、2例(1.5%),差异有统计学意义(P<0.05)。结论实施腹透患者照护性参与自我管理,可提高患者的依从性,提高患者更换腹膜透析液操作的规范性,降低患者因操作性及肠源性导致的腹透相关性腹膜炎的发生率,使患者的生存及生活质量得到提高。Objective To investigate the effect of caregiving participatory self-management on reducing pertioneal dialysis-associated peritonitis in patients with peritonitis. Methods A group of125 patients with home-based peritoneal dialysis from January2017 to December2017 were enrolled into the observation group,and adopted routine outpatient follow-up and health education guidance. Another group of130 patients with home-based peritoneal dialysis from January2018 to December2018 were enrolled into the experimental group,and received caregiving participatory self-management on the basis of routine outpatient follow-up and health education guidance. The incidence of pertioneal dialysis-associated peritonitis was compared between the two groups. Results The incidence of pertioneal dialysisassociated peritonitis was significantly decreased from70.38 patient months to101.84 patient months after the implementation of caregiving participatory self-management(P<0.05). The incidence rates of pertioneal dialysisassociated peritonitis due to operational and enterogenous causes were also significantly decreased from9 cases(7.2%)to2 cases(1.5%) and from10(8.0%) cases to2 cases(1.5%) respectively(P<0.05). Conclusion The implementation of caregiving participatory self-management can improve patient compliance and standarded peritoneal dialysate replacement,reduce the incidence of pertioneal dialysis-associated peritonitis caused by inappropriate operation or enterogenous causes,and finally increase the survival rate and quality of life of the patients.

关 键 词：腹膜透析 照护性参与 自我管理 腹膜炎 

分 类 号：R473.5[医药卫生—护理学]