个案追踪管理模式在行维持性血液透析患者透析长间期液体管理中的应用  

Application of case tracking management model in long-interval fluid management of maintenance hemodialysis patients

作　　者：周薇[1] 张渊[1] 徐仁艳[1] 余雁[1] 杜爱燕[1] ZHOU Wei;ZHANG Yuan;XU Renyan;YU Yan;DU Aiyan(Wuxi People's Hospital,Wuxi,Jiangsu,214023,China)

机构地区：[1]无锡市人民医院,江苏无锡214023

出　　处：《中西医结合护理(中英文)》2025年第2期209-212,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨个案追踪管理模式在行维持性血液透析患者透析长间期液体管理中的应用效果。方法将无锡市人民医院收治的透析长间期水分增长超过5%的80例维持性血液透析患者纳入研究,采用随机数字表法进行分组,分为实验组与对照组,各40例。2组患者均进行规律透析,对照组予以常规护理,实验组在常规护理的基础上应用个案追踪管理模式进行液体管理。比较2组患者干预前后的液体管理情况及相关并发症的发生率。结果实施个案追踪管理模式后,实验组患者的水分控制情况比对照组更优,并发症发生率比对照组更低,组间差异均有统计学意义(P均<0.05)。结论个案追踪管理模式可以有效提高行维持性血液透析患者在透析长间期的液体管理水平,并减少透析相关并发症的发生。Objective To explore the application effect of case tracking management model in the long-interval fluid management of maintenance hemodialysis patients.Methods Eighty maintenance hemodialysis patients with water gain of more than 5%during the long interval of dialysis were enrolled from Wuxi People's Hospital.The random number table method was used for grouping,with 40 patients in the experimental group and 40 patients in the control group.Both groups of patients underwent regular dialysis.The control group received routine nursing,while the experimental group adopted case tracking management model for fluid management on the basis of routine nursing.The fluid management and incidence of related complications before and after intervention were compared between the two groups.Results After the implementation of case tracking management model,the experimental group exhibited superior water control and a lower incidence of complications compared with the control group.The differences between the groups were statistically significant(P<0.05).Conclusion The case tracking management model can effectively improve the fluid management of maintenance hemodialysis patients during the long interval of dialysis,and reduce the occurrence of dialysis-related complications.

关 键 词：维持性血液透析 个案追踪管理模式 液体管理 并发症 

分 类 号：R472[医药卫生—护理学]