门诊护理管理模式对慢性肾脏病患者进入肾替代治疗时间的影响

Effects of Outpatient Nursing Management Mode on uality of Life of Patients With CKD

目的研究建立门诊护理管理模式对慢性肾脏病(Chronic kidney disease,CKD)患者进入肾替代治疗时间的影响。方法对2011年至2013年四川绵阳四○四医院肾脏病门诊确诊为慢性肾脏病第3期以上CKD患者120例,随机分为实验组和对照组。实验组由肾脏病门诊管理小组进行系统的教育和管理,对照组由门诊医生进行诊治和健康教育。对两组患者的进入肾替代治疗时间进行比较。结果进入肾替代治疗时间实验组16.39±4.54月,对照组11.16±3.04月,差异有统计学意义(P<0.05)。结论建立慢性肾脏病门诊护理管理模式可以提高患者依从性,从而延缓患者进入肾替代治疗时间,延缓疾病进展。

Objective Study the outpatient nursing management model is established to chronic kidney disease （ Chronic kidney diseases, Chronic kidney disease （ CKD） ） in renal replacement therapy in patients with time. Methods The object of study for a September 2013 to April 2011 in Mianyang, sichuan 4 0 4 hospital diagnosed with chronic kidney disease stage 3 kidney disease clin-ics, 120 cases of patients with chronic kidney disease （CKD） （each patient in renal replacement therapy （in CKD stage 5） stop re-search） , were randomly divided into experimental group and control group. Experimental group kidney disease outpatient management system of the education and management, the control group by outpatient doctor make a diagnosis and give treatment and health educa-tion. In renal replacement therapy in patients with two groups of time. Results Into the renal replacement therapy group 16. 39±4. 54, 11. 16±3. 04 control group, the difference is significant（P〈0. 05）. Conclusion Build into patients with chronic kidney disease out-patient nursing management mode can delay the time of renal replacement therapy, so as to slow disease progression.