循证护理对腹膜透析患者心血管事件发生及生存质量的影响  

Effects of evidence-based nursing on occurrence of cardiovascular events and quality of life in patients undergoing peritoneal dialysis

作　　者：李飞 陈文[1] LI Fei;CHEN Wen(Department of Nephrology,Second Affiliated Hospital of Hainan Medical University,Haikou 570311,China)

机构地区：[1]海南医学院第二附属医院肾内科,海口570311

出　　处：《临床与病理杂志》2020年第11期2975-2981,共7页Journal of Clinical and Pathological Research

摘　　要：目的:探讨循证护理对腹膜透析患者心血管事件发生以及生存质量的影响。方法:回顾性分析海南医学院第二附属医院肾内科135例患者的病例资料:应用循证护理前(2016年2月至2017年1月,应用前组,n=65),应用循证护理后(2017年2月至2018年1月,应用后组,n=70)。应用前组采用常规护理干预,应用后组采用循证护理干预,比较两组腹膜透析效果、心血管事件的发生情况、焦虑自评量表(Self-rating Anxiety Scale,SAS)与抑郁自评量表(Self-rating Depression Scale,SDS)以及生活质量评分。结果:应用后组干预后尿素清除指数(urea clearance index,KT/V)、血清白蛋白、血红蛋白均高于应用前组,组间差异均具有统计学意义(均P<0.05);应用后组心血管事件发生率为11.43%(8/70)低于应用前组的26.15%(17/65),组间差异具有统计学意义(χ2=4.843,P=0.028);应用后组心血管事件病死率为2.86%(2/70)低于应用前组的15.38%(10/65),组间差异具有统计学意义(χ2=6.531,P=0.011);应用后组干预后SAS和SDS评分均低于应用前组,组间差异均具有统计学意义(均P<0.05);应用后组干预后生存质量各项评分均高于应用前组,组间差异均具有统计学意义(均P<0.05)。结论:循证护理对腹膜透析患者干预效果良好,可有效减少心血管事件的发生,提高患者生存质量。Objective:To investigate the effects of evidence-based nursing on occurrence of cardiovascular events and quality of life in patients undergoing peritoneal dialysis.Methods:The retrospective analysis was performed on 135 case data in nephrology department of the Second Affiliated Hospital of Hainan Medical University:65 patients who were not given evidence-based nursing from February 2016 to January 2017(pre-application group)and 70 patients who were given evidence-based nursing from February 2017 to January 2018(post-application group).The pre-application group was given routine nursing intervention,while post-application group was given evidence-based nursing intervention.The peritoneal dialysis effect,occurrence of cardiovascular events,scores of Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and quality of life were compared between the two groups.Results:After intervention,urea clearance index(KT/V),serum albumin and hemoglobin in postapplication group were higher than those in pre-application group(all P<0.05).The incidence of cardiovascular events in post-application group was lower than that in pre-application group[11.43%(8/70)vs 26.15%(17/65)](χ2=4.843,P=0.028).The mortality rate of cardiovascular events in post-application group was lower than that in pre-application group[2.86%(2/70)vs 15.38%(10/65)](χ2=6.531,P=0.011).After intervention,scores of SAS and SDS in post-application group were lower than those in pre-application group(all P<0.05).After intervention,scores of quality of life in post-operative group were higher than those in pre-application group(all P<0.05).Conclusion:The effect of evidence-based nursing intervention is good on patients undergoing peritoneal dialysis,which can effectively reduce occurrence of cardiovascular events,and improve their quality of life.

关 键 词：循证护理 腹膜透析 心血管事件 负性情绪 生活质量 

分 类 号：R473.5[医药卫生—护理学]