风险防控质控护理在肾功能衰竭腹膜透析患者中的应用  

Application of risk prevention and quality control nursing in peritoneal dialysis patients with renal failure

作　　者：代现勇 胡秀玲[1] 王秀峰 骆纳纳 季媛媛 张芹芹 Dai Xianyong;Hu Xiuling;Wang Xiufeng;Luo Nana;Ji Yuanyuan;Zhang Qinqin(Department of Nephrology,Affiliated Hospital of Jining Medical College,Jining 207001,China)

机构地区：[1]济宁医学院附属医院肾内科,济宁207001

出　　处：《中华现代护理杂志》2021年第17期2322-2326,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨风险防控质控护理在肾功能衰竭腹膜透析患者中的应用效果。方法采用便利抽样法,选取2019年1—12月济宁医学院附属医院收治的86例肾功能衰竭患者作为研究对象,按照随机数字表法将其随机分为观察组(43例)和对照组(43例)。对照组患者采用传统风险防控护理,观察组患者采用风险防控质控护理,比较两组患者干预前后白蛋白、血红蛋白、血肌酐、血尿素氮变化情况以及干预过程中腹膜炎、导管出口感染、水潴留、低钾血症等并发症的发生情况。结果干预后,观察组患者的白蛋白、血红蛋白水平高于对照组,血肌酐、血尿素氮水平低于对照组,差异有统计学意义(P<0.01)。观察组患者的并发症发生率为23.26%(10/43),低于对照组患者的46.51%(20/43),差异有统计学意义(P<0.05)。结论对肾功能衰竭腹膜透析患者进行风险防控质控护理可改善患者的肾功能状况,减少并发症的发生。Objective To study and analyze the application effect of risk prevention and quality control nursing in peritoneal dialysis patients with renal failure.Methods From January to December 2019,a total of 86 patients with renal failure in the Affiliated Hospital of Jining Medical College were recruited as the research objects by convenient sampling method.All the objects were divided into the observation group(43 cases)and the control group(43 cases)by the random number table method.The control group was treated with traditional risk prevention and control nursing,while the observation group was treated with risk prevention and control quality control nursing.The changes of albumin,hemoglobin,creatinine,blood urea nitrogen were compared between the two groups before and after intervention,and the incidence of complications such as peritonitis,catheter outlet infection,water retention and hypokalemia were compared between the two groups.Results After the intervention,the albumin and hemoglobin levels of the observation group were higher than those of the control group,and the levels of creatinine and urea nitrogen in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.01).During the intervention,the complication rate of the observation group was 23.26%(10/43),which was lower than 46.51%(20/43)of the control group,and the difference was statistically significant(P<0.05).Conclusions Risk prevention and quality control nursing in peritoneal dialysis patients with renal failure can improve renal function and reduce the occurrence of complications.

关 键 词：腹膜透析 肾功能衰竭 护理 风险防控 并发症 营养状况 

分 类 号：R473.5[医药卫生—护理学]