江苏省40家医院腹膜透析患者随访管理现状调查  

Investigation of follow-up management status of Peritoneal Dialysis patients in 40 hospitals in Jiangsu province

作　　者：谌璐[1] 武月 许彬 黄抱娣 吕小林[3] 朱亚梅[4] 林征[1] CHEN Lu;WU Yue;XU Bin;HUANG Baodi;LYU Xiaolin;ZHU Yamei;LIN Zheng(Nursing Department,The First Affiliated Hospital of Nanjing Medical University,Nanjing,210029,China)

机构地区：[1]南京医科大学第一附属医院护理部,南京市210029 [2]南京医科大学第一附属医院泌尿外科 [3]南京医科大学第一附属医院肾脏科 [4]南京医科大学第一附属医院血液净化中心

出　　处：《中国护理管理》2022年第6期947-951,共5页Chinese Nursing Management

基　　金：中华医学会杂志社2019年护理学科研究课题(CMAPH-NRI2019011);江苏省人民医院2020年度“临床能力提升工程”护理项目(JSPH-NC-2020-1)。

摘　　要：目的:调查江苏省腹膜透析患者随访管理现状。方法:采用便利抽样法,于2021年8月调查江苏省13个地级市40家医院,采用自制问卷调查透析中心规模、随访方式、随访人员、随访频率、随访内容等。结果:40家医院共有腹膜透析随访患者6479人,随访方式多样。医院门诊随访频率基本符合《腹膜透析标准操作规程》要求。负责随访的护理人员包括专职腹膜透析护士48名和兼职腹膜透析护士108名。各家医院随访内容均有差别,但透析相关内容、并发症预警是关注重点;对生活质量、社会支持相关内容关注度低。结论:江苏省40家医院腹膜透析中心人员配置不足,部分医院随访内容略有缺失,建议逐步改善人员配置情况,总结腹膜透析患者居家透析过程中的问题及相应重点随访的内容并形成固定模块,为随访者及时获取核心、必需的随访指标结果提供依据。Objective:To investigate the status quo of follow-up management of Peritoneal Dialysis patients in Jiangsu province.Methods:A convenient sampling method was used to survey 40 hospitals in 13 cities in Jiangsu province in August 2021,using a self-made questionnaire to investigate the size of dialysis centers,follow-up methods,follow-up personnel,follow-up frequency,and follow-up content.Results:A total of 6479 Peritoneal Dialysis patients were followed-up in 40 hospitals.The follow-up methods were diverse.The hospital follow-up frequency met the requirements of the Standard Operating Procedures for Peritoneal Dialysis.The nursing staff responsible for follow-up included 48 full-time Peritoneal Dialysis nurses and 108 part-time Peritoneal Dialysis nurses.The content of follow-up of each hospital was different,but dialysis related indicators and early warning of complications were the focuses.The concern of quality of life and social support was lower.Conclusion:The Peritoneal Dialysis centers of most hospitals in Jiangsu province were under-staffed,and some hospitals had a slight lack of follow-up content.It is recommended to gradually improve the staffing situation,summarize the problems of Peritoneal Dialysis patients in the home dialysis process and the corresponding key follow-up content,and form a fixed module for the follower to obtain core and necessary follow-up indicators in time to provide a basis.

关 键 词：腹膜透析 随访管理 现况调查 专职护士 人员配置 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]