规范化透析前培训对腹膜透析患者培训质量的影响

Effect of Training before Standardized Dialysis on the Training Quality of Patients with Peritoneal Dialysis

目的:探析规范化透析前培训在腹膜透析患者中的应用及其对培训质量所产生的影响。方法:选取本中心2013年2月-2015年7月收治的新置管腹膜透析培训患者作为研究对象,其中2013年2月-2014年6月入组的27例患者作为对照组,2014年7月-2015年7月入组的29例患者作为试验组。对照组于术后1 d进行1周的规范化培训课程,试验组术前3 d开始予以规范化培训,比较两组术后1周理论与操作考核达标率及术后平均住院时间。结果:术后1周,试验组的理论考核达标率与操作考核达标率分别为89.7%、79.3%,均明显高于对照组的66.7%、51.9%,差异均有统计学意义(P<0.05)。试验组术后平均住院时间为(8.7±1.8)d,明显短于对照组的(11.3±1.5)d,差异有统计学意义(t=5.848,P=0.000)。结论:规范化透析前培训在腹膜透析患者中的应用可帮助患者更快、更好地掌握腹膜透析理论知识与操作技能,缩短住院时间,有利于培训质量的提高,经济与社会效益显著,值得大力推广应用。

Objective： To explore the effect of training before standardized dialysis on the training quality of patients with peritoneal dialysis.Method： The patients who received training of new cathetering peritoneal dialysis admitted to our center from February 2013 to July 2015 were selected as research objects.27 cases from February 2013 to June 2014 were regarded as the control group, while 29 cases from July 2014 to July 2015 were regarded as the experimental group.The control group received a week of standardized training courses at one day after operation, while the experimental group was given standardized training at three days before operation.The control rates of theoretical and operation examination a week after operation and the average length of stay afteroperation were compared between the two groups.Result： The control rates of theoretical and operation examination in the experimental group were 89.7% and 79.3% respectively, which were significantly higher than 66.7% and 51.9% in the control group, the differences were statistically significant （ P〈0.05 ） .The average length of stay in the experimental group was （ 8.7 ±1.8 ） days, which was significantly shorter than （ 11.3 ± 1.5 ） days in the control group, the difference was statistically significant （ P〈0.05 ） .Conclusion： The application of training before standardized dialysis in patients with peritoneal dialysis can help patients to grasp the theoretical knowledge and operational skills of peritoneal dialysis faster and better and shorten the length of hospital stay.h is good for improving the training quality and the economic and social benefits are significant.h is worth to be vigorously promoted and applied.