基于5E模式的个案管理对腹膜透析患者水盐控制的影响

Effect of case management based on 5E mode on water-salt control in patients with peritoneal dialysis

目的探究基于5E模式的个案管理对腹膜透析患者水盐控制的影响。方法 100例符合条件的腹膜透析患者随机分为两组,各50例,对照组给予常规护理,试验组在此基础上应用基于5E模式的个案管理进行护理干预。在第1阶段(基线资料收集)、第2阶段(4个月的干预)、第3阶段(3个月的随访)评价患者的各项指标。结果第1阶段两组患者资料差异无统计学意义;干预后第2、3阶段试验组患者体质量、收缩压、舒张压、液体摄入量、食盐摄入量明显低于对照组,依从性优于对照组(P<0.05);尿量、PD超滤量的下降速度比对照组减缓(P<0.05);患者第2阶段每天睡眠时间有所增加(P<0.05)。结论基于5E模式的个案管理用于腹膜透析患者水盐控制是有效、可行的。

Objective To assess the influence of case management based on 5 E mode on water-salt control in the patients with peritoneal dialysis.Methods One hundred eligible cases of peritoneal dialysis were randomly divided into two groups,50 cases in each group.The control group received regular nursing care,while on this basis the experimental group applied the case management based on 5 Emode for conducting the nursing intervention.The various indicators were evaluated at 3 time points（the first stage of the baseline data ceollection）,second stage（4-month intervention）and third stage（3-month follow up）.Results There was no statistically significant difference in the first stage between the two groups;in the second and third stage the body weight,systolic blood pressure,diastolic blood pressure,water and salt intake amount in the experimental group were lower than those in the control group,compliance was superior to thas of the control group（P0.05）;the descent speed of urine volume and PD ultrafiltration amount in the experimental group was slowed down compared with the control group（P0.05）;the patient′s daily sleeping time was improved（P0.05）.Conclusion The case management based on 5 E mode used in the water-salt control of the patients with peritoneal dialysis is effective and feasible.