医联体框架内腹膜透析医护一体化管理模式的研究  

Research on the integrated management model of peritoneal dialysis medical care within the framework of medical alliance

作　　者：张晓华 夏昌华 邱取英 李肖瑛 ZHANG Xiao-Hua;XIA Chang-Hua;QIU Qu-Ying(Qingpu branch of Zhongshan Hospital,Affiliated to Fudan University,Shanghai 201700,China)

机构地区：[1]复旦大学附属中山医院青浦分院,上海201700

出　　处：《吉林医学》2025年第1期205-208,共4页Jilin Medical Journal

基　　金：上海市青浦区科学技术委员会软科题项目[项目编号:R2023-10]。

摘　　要：目的:探讨分析医联体框架内腹膜透析医护一体化管理模式的效果。方法:选取2023年1月~2024年1月于复旦大学附属中山医院青浦分院在册管理的161例腹膜透析患者作为研究对象,中途退出11例,最终150例按照双盲法机制分为研究组与对照组各75例。研究组实施医护一体化管理模式,对照组实施常规管理,比较两组透析质量、生活质量、依从性、满意度。结果:实施前,两组症状影响、透析充分性达标率、血红蛋白(Hb)、血清白蛋白(Alb)、血清前白蛋白(PA)等透析质量比较差异无统计学意义(P>0.05);实施后,研究组症状影响、透析充分性达标率、Alb等透析质量均明显优于对照组,差异均有统计学意义(P<0.05)。实施后,研究组社会回归、生理功能、精神状态、情感表现等生活质量均明显高于对照组,差异均有统计学意义(P<0.05)。研究组依从性明显高于对照组,满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论:医护一体化管理在腹膜透析患者中的应用取得一定临床价值,透析质量与生活质量均得到提升,且依从性和满意度比较理想。Objective To explore and analyze the integrated management model of peritoneal dialysis medical care within the framework of medical alliance.Method A total of 161 peritoneal dialysis patients who were enrolled in the Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University from January 2023 to January 2024 were selected as the study subjects,and 11 cases were withdrawn halfway,and a total of 150 cases were finally divided into the integrated group(n=75)and the reference group(n=75)according to the double-blind method.The integrated group implements the integrated management model of medical care,and the reference group implements routine management.Dialysis quality,quality of life,compliance and satisfaction were compared between the two groups.Results Before the implementation,the two groups had no significant difference in symptom impact,dialysis adequacy compliance rate,Hb,Alb,PA and other dialysis quality(P>0.05),while after the implementation,the symptom impact,dialysis adequacy compliance rate,serum albumin and other dialysis quality in the integrated group were significantly better than those in the reference group(P<0.05).After the implementation,the quality of life such as social regression,physiological function,mental state,and emotional performance in the integrated group was significantly higher than that in the reference group(P<0.05).The compliance of the integrated group was significantly higher than that of the reference group,the satisfaction of the integrated group was significantly higher than that of the reference group(P<0.05).Conclusion The application of integrated medical care management in peritoneal dialysis patients has achieved certain clinical value,the quality and quality of dialysis have been improved,and the compliance and satisfaction are ideal,and the nursing program is worthy of wide promotion.

关 键 词：医联体框架 腹膜透析 医护一体化管理 

分 类 号：R47[医药卫生—护理学]