远程监控对居家自动化腹膜透析患者容量管理的影响  

Influence of remote monitoring on volume management in patients undergoing automated peritoneal dialysis at home

作　　者：田素革[1] 张静[1] 郭文杰 郑艳平[1] 曲哲[3] 张丽娜 顾玥[1] Tian Suge;Zhang Jing;Guo Wenjie;Zheng Yanping;Qu Zhe;Zhang Lina;Gu Yue(Department of Nephrology,Henan Provincial People′s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院肾内科,河南郑州450000 [2]河南护理职业学院 [3]河南省人民医院心血管内科,河南郑州450000

出　　处：《护理学杂志》2022年第6期95-98,共4页Journal of Nursing Science

基　　金：国家重点研发计划数字诊疗装备研发重点专项定向项目(2018YFC0114503);河南省医学科技攻关计划联合共建项目(LHGJ20190617)。

摘　　要：目的 探讨远程监控对居家自动化腹膜透析患者容量管理的影响。方法 将74例居家自动化腹膜透析患者随机分为对照组和观察组各37例。对照组实施常规随访管理干预,观察组实施远程监控干预,均干预6个月。比较两组患者容量管理相关知识、容量自我管理行为、体内水剩余和血压。结果 观察组和对照组干预后容量管理相关知识得分、容量自我管理行为得分较干预前提高(P<0.05,P<0.01),体内水剩余值、血压较干预前显著降低(均P<0.01);观察组干预后各项指标显著优于对照组(P<0.05,P<0.01)。结论 远程监控能提高居家自动化腹膜透析患者容量相关知识和容量自我管理行为水平,改善其容量负荷。Objective To explore the influence of remote monitoring on volume management in patients undergoing automated peritoneal dialysis(APD) at home. Methods Totally, 74 patients undergoing APD at home were randomly divided into a control group(n=37), who received routine follow-up intervention, and an intervention group(n=37),who received remote monitoring intervention. The intervention lasted 6 months. The volume management related knowledge, volume self-management behaviors, overhydration values, and blood pressure levels were compared between the two groups. Results After the intervention, the scores of volume management related knowledge and volume self-management behavior in both groups were higher than those before the intervention(P<0.05,P<0.01), and the overhydration values and blood pressure were lower than those before the intervention(P<0.01 for both). After the intervention, the above-mentioned outcomes in the intervention group were significantly better than those in the control group(P<0.05, P<0.01). Conclusion Remote monitoring can improve the level of volume related know-ledge and volume self-management behavior in patients undergoing APD at home, and improve volume load.

关 键 词：自动化腹膜透析 容量超负荷 远程监控 居家管理 自我管理行为 血压 体内水剩余 容量管理 

分 类 号：R473.5[医药卫生—护理学]