网络随访对腹膜透析患者并发症发生率的影响

Effect of Network Follow-up on Incidence of Complications of Peritoneal Dialysis

目的探讨网络随访对腹膜透析患者并发症发生率的影响。方法将187例规律随访的腹膜透析患者按自愿参与的原则分为观察组81例、对照组106例,对照组采取门诊随访、电话随访,必要时家访;观察组在采取门诊随访、电话随访的基础上开设飞信平台、QQ群随访,比较随访1年后2组患者腹膜炎发生率、导管出口处感染率及住院率。结果观察组患者腹膜炎发生率为162.0个病人月·次-1、住院率为29.6%,对照组腹膜炎发生率为63.6个病人月·次-1、住院率为69.8%,观察组腹膜炎发生率及住院率均低于对照组(均P<0.05)。2组导管出口处感染率比较差异无统计学意义(97.2个病人月·次-1比66.9个病人月·次-1,P>0.05)。结论网络随访可降低腹膜炎发生率及住院率,是一种有效的腹膜透析随访管理方法。

Objective To investigate the effect of network follow-up on the incidence of complications of peritoneal dialysis.Methods A total of 187 peritoneal dialysis patients receiving regu-lar follow-up were voluntarily divided into two groups.The control group（106 patients）received outpatient follow-up,telephone follow-up,and family visiting if necessary.The observation group （81 patients）received Fetion and QQ group follow-up besides outpatient and telephone follow-up.The incidence of peritonitis and exitsite infection and the rate of hospitalization were compared between the two groups after follow-up for 1 year.Results The peritonitis occurred once every 162.0 patients in observation group,and once every 63.6 patients in control group.The exitsite infection occurred once every 97.2 patients in observation group,and once every 66.9 patients in control group.The rate of hospitalization was 29.6% in observation group,and 69.8% in control group.The incidence of peritonitis and the rate of hospitalization in observation group were significantly lower than those in control group（P 〈0.05）.However,no significant difference in the incidence of exitsite infection was found between the two groups（P 〉0.05）.Conclusion Network follow-up can reduce the incidence of peritonitis and the rate of hospitalization.Therefore,it is an effective method for the follow-up management of peritonitis.