多学科团队干预对维持性血液透析患者生活质量的影响  

Effect of a multidisciplinary intervention on the quality of life in maintenance hemodialysis patients

作　　者：郭晓翠 禹小娟 沈霞 叶水英 周东池 赖碧红 Guo Xiaocui;Yu Xiaojuan;Shen Xia;Ye Shuiying;Zhou Dongchi;Lai Bihong(Department of Hemodialysis Room,Shanghai Pudong Hospital,Pudong Hospital Affiliated to Fudan University,Shanghai 201399,China)

机构地区：[1]上海市浦东医院复旦大学附属浦东医院血液透析室,上海201399

出　　处：《临床荟萃》2024年第9期803-807,共5页Clinical Focus

基　　金：上海市浦东新区卫生健康委员会科技发展专项基金资助MDT团队干预改善血透患者生活质量的临床研究(PW2020A-31);上海市浦东新区科经委发展专项基金资助穴位按摩联合耳穴埋豆对改善维持性血液透析患者睡眠质量的应用研究(PKJ2022-Y103)。

摘　　要：目的研究维持性血液透析(maintenance hemodialysis,MHD)患者在多学科团队干预下生活质量改善的有效性。方法纳入2020年1月-2022年12月在上海市浦东医院血液透析室行MHD治疗患者100例。按随机数字表1∶1分为干预组(n=50)和对照组(n=50)。干预组由肾科医生、营养师和护士组成的医护团队干预,对照组由护理团队采用日常标准护理。干预12个月,干预组和对照组各退出1例,最终干预组和对照组各49例。比较两组自我管理能力、生活质量和营养状况等。结果干预前两组一般资料、生活质量、自我管理能力和营养状况差异均无统计学意义(P>0.05)。干预后,干预组自我管理评分和生活质量评分均高于对照组(P<0.05);体质指数、血清白蛋白、血清铁蛋白、总胆固醇均优于对照组(P<0.05)。结论对MHD患者进行多学科团队干预,可以改善患者的营养状况,提高患者的自我管理能力和生活质量。Objective To investigate the effect of a multidisciplinary intervention on the quality of life in patients with maintenance hemodialysis(MHD).Methods A total of 100 MHD patients admitted to the Department of Hemodialysis,Shanghai Pudong Hospital from January 2020 to December 2022 were included.They were randomly assigned 1∶1 into the intervention group(n=50)and control group(n=50).A multidisciplinary team which comprised nephrologists,nutritionists,and nurses was responsible for managing MHD patients the intervention group,while those in the control group received a standard daily care from the nursing team.After 12 months of intervention,1 case in each group withdrew,and finally,49 eligible cases were included in each group.The self-management ability,quality of life,and nutritional status were compared between two groups.Results There were no significant differences in general information,quality of life,self-management ability,and nutritional status between the two groups before intervention(P>0.05).After intervention,the self-management score and quality of life score of the intervention group were significantly higher than those of the control group(P<0.05).Body mass index,serum albumin,serum ferritin,and total cholesterol were significantly better than those in the control group(P<0.05).Conclusion A multidisciplinary intervention effectively improves the nutritional status,self-management ability and quality of life of MHD patients.

关 键 词：肾功能衰竭 慢性 连续性肾替代疗法 多学科团队 生活质量 

分 类 号：R692.5[医药卫生—泌尿科学]