优质护理干预在慢性肾衰竭腹膜透析患者中的应用效果

High quality nursing intervention in patients with chronic renal failure peritoneal dialysis

目的探讨优质护理干预在慢性肾衰竭腹膜透析患者中的应用效果。方法选取2015年1-12月在我院行持续性不卧床腹膜透析患者88例作为研究对象，将其随机分成两组，各44例。观察组采用优质护理干预，对照组实行常规护理，比较两组患者的腹膜炎发病率，并对患者的躯体功能、心理功能、社会功能、物质生活等方面进行生活质量评分。结果观察组腹膜炎发病率为9．1％，明显低于对照组的15．9％；观察组躯体功能、心理功能、社会功能、物质生活、生活质量总分分别为（65±7）、（82±8）、（81±9）、（76±7）、（73±8）分，明显高于对照组的（49±6）、（70±9）、（63±8）、（63±10）、（61±7）分，差异有统计学意义（P〈0．05）。结论优质护理干预应用于慢性肾衰竭腹膜透析中，不仅能有效降低腹膜炎发病率，同时能提高患者的生活质量，值得推广。

Objective To explore the effect of high quality nursing intervention on patients with chronic renal failure peritoneal dialysis.Methods 88 cases of continuous ambulatory peritoneal dialysis patients in our hospital from January to December 2015 were Selected,and randomly divided into two groups,44 cases in each group.The observation group was used the high quality nursing intervention,and the control group was used routine nursing.Incidence of peritonitis between the two groups,including the patient＇s physical function,psychological function,social function and material life, quality of life were compared.Results The peritonitis rate of observation group was 9.1%,which was significantly lower than that of control group （15.9）%.The physical function,psychological function,social function and material life,the total score of quality of life respectively of observation group were （65±7）,（82±8）,（81±9）,（76±7）,（73±8） scores,which was sig- nificantly higher than that of control group （49±6）,（7±9）,（63±8）,（63±10）,（61±7） scores,the differences were significant （P〈0.05）.Conclusion Quality care interventions used in peritoneal dialysis chronic renal failure,not only can effectively reduce the incidence of peritonitis,while improving the quality of life of patients,it should be promoted.