基于Levine守恒模式构建的干预体系在腹膜透析患者中的应用效果  

Application effect of intervention system construction based on Levine conservation mode in patients with peritoneal dialysis

作　　者：吴一平 黄燕林[1] 陈凤丹 陈国伟 杨洁 WU Yiping;HUANG Yanin;CHEN Fengdan;CHEN Guowei;YANG Jie(Department of Nephrology,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学第一附属医院肾内科,广西南宁市530021

出　　处：《广西医学》2024年第8期1165-1171,共7页Guangxi Medical Journal

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2017030)。

摘　　要：目的探讨基于Levine守恒模式构建的干预体系在腹膜透析患者中的应用效果。方法选取134例腹膜透析患者作为研究对象,将其随机分为干预组和对照组,最终纳入对照组和干预组各65例。给予对照组常规护理干预,干预组在常规护理的基础上给予基于Levine守恒模式的护理干预,两组均干预12个月。比较两组患者干预前后预防腹膜透析相关性腹膜炎质量核查表各维度得分、血清白蛋白和血红蛋白水平,比较两组患者干预后腹膜透析相关性腹膜炎的发生率。结果干预后,干预组患者预防腹膜透析相关性腹膜炎质量核查表各维度得分高于干预前及对照组(P<0.05),血清白蛋白水平高于对照组(P<0.05),但两组患者血红蛋白水平的差异无统计学意义(P>0.05);干预组患者的腹膜透析相关性腹膜炎发生率低于对照组(P<0.05)。结论基于Levine守恒模式构建的干预体系可以使患者的腹膜透析操作更加规范,降低腹膜透析相关性腹膜炎的发生率,提高患者血清白蛋白水平。Objective To explore the application effect of intervention system construction based on Levine conservation mode in patients with peritoneal dialysis.Methods A total of 134 patients with peritoneal dialysis were selected as the research subjects,and they were randomly assigned to intervention group or control group,and finally 65 cases were enrolled in the control group and the intervention group,respectively.The control group received routine nursing for intervention,based on which the intervention group received nursing intervention based on Levine conservation mode.Both groups received intervention for 12 months.The scores of various dimensions of pre-and post-intervention quality check-list of peritoneal dialysis associated peritonitis prevention,serum albumin and hemoglobin levels,and the incidence rate of peritoneal dialysis associated peritonitis after intervention were compared between patients of the two groups.Results After intervention,patients of the intervention group obtained higher scores of various dimensions of quality check-list of peritoneal dialysis associated peritonitis prevention as compared with before intervention and the control group(P<0.05),and serum albumin level was higher than that of the control group(P<0.05),but there was no statistically significant difference in hemoglobin level between the two groups(P>0.05).The intervention group exhibited a lower incidence rate of peritoneal dialysis associated peritonitis as compared with the control group(P<0.05).Conclusion Intervention system constructed based on Levine conservation mode can make peritoneal dialysis operation more standardized in patients with peritoneal dialysis,and reduce the incidence rate of peritoneal dialysis associated peritonitis,elevate serum albumin level in patients.

关 键 词：腹膜炎 腹膜透析 Levine守恒模式 护理干预 

分 类 号：R473.5[医药卫生—护理学]