家庭访视对腹膜透析相关性腹膜炎发生率及生化指标的影响  

Effects of family visits on incidence and biochemical parameters of peritoneal dialysis-related peritonitis

作　　者：金曼 何晓容 沈英 沈卫红 Jin Man;He Xiaorong;Shen Ying;Shen Weihong(Department of Nursing,Jinshan District Hospital Affiliated to Fudan University,Shanghai 201508,China)

机构地区：[1]复旦大学附属金山医院护理部,上海201508

出　　处：《山西医药杂志》2020年第16期2092-2094,共3页Shanxi Medical Journal

基　　金：上海市金山区科委项目(2018-3-24)。

摘　　要：目的探讨家庭访视对腹膜透析相关性腹膜炎发生率和可能原因及生化指标的影响。方法本研究为前瞻性队列研究,选取2018年10月至2019年9月在本院肾内科就诊的腹膜透析患者105例作为研究对象,其中观察组25例,对照组80例。记录2组的腹膜透析相关性腹膜炎发生和发生原因及生化指标的变化情况。使用χ~2检验比较2组腹膜炎发生率和发生原因的差异,使用重复测量方差分析,比较生化指标的变化。结果观察组和对照组的腹膜透析相关性腹膜炎发生率分别为0.03/患者月和0.02/患者月,组间差异无统计学意义(P=0.159)。观察组因环境卫生不佳而导致腹膜炎的比例小于对照组(P=0.036);而观察组和对照组的操作不当和操作者卫生不佳的比例差异均无统计学意义(P=0.478和P=0.336)。观察组3次血肌酐值均小于对照组(F家庭访视=6.84,P=0.01);检查次序不同,血肌酐值有差异,呈逐渐减小趋势(F次序=5.46,P=0.006);是否家庭访视影响患者血肌酐随时间变化的情况(F时间×家庭访视=4.79,P=0.01)。结论家庭访视虽然没有降低腹膜炎发病率,但是在一定程度上改善了常见的引起腹膜炎的影响因素和改善了相关重要生化指标。Objective To investigate the effect of family visit on peritoneal dialysis associated peritonitis incidence,possible causes and biochemical parameters.Methods This study was a prospective cohort study.A total of 105 patients with peritoneal dialysis were enrolled from October 2018 to September 2019 in the Department of Renal Medicine of Jinshan Hospital of Fudan University,including 25 patients in the observation group and 80 patients in the control group.The causes and biochemical indexes of peritoneal dialysis associated peritonitis were recorded.A Chi-square test was used to compare the incidence and cause of peritonitis between both groups,and a repeated measurement analysis of variance was used to compare the changes of biochemical indexes.Results The incidence of peritoneal dialysis associated peritonitis in the observation group and the control group was 0.03/patient month and 0.02/patient month,respectively,without significant difference(P=0.159).The ratio of peritonitis caused by poor environmental hygiene in the observation group was smaller than that in the control group(P=0.036),whereas the differences of the ratio of improper operation and poor hygiene of the operator in the observation group and the control group were not statistically significant(P=0.478 and P=0.336,respectively).The values of serum creatinine in the observation group were smaller than those in the control group(Ffamily visit=6.84,P=0.01);the difference of serum creatinine value gradually decreased according to the order of examination(Forder=5.46,P=0.006);whether family visit or not affected the patient′s serum creatinine over time(Ftime*family visit=4.79,P=0.01).Conclusion Although family visit does not reduce the incidence of peritonitis,it improves the influence factors of common peritonitis and important biochemical indexes to some extent.

关 键 词：家庭护理 腹膜透析 腹膜炎 生化指标 血肌酐 

分 类 号：R473.2[医药卫生—护理学]