摘要
目的:分析自行设计的个人透析报告在转诊血液透析患者中的应用效果。方法:采用便利抽样法,将2016年7-12月从我科转诊的55例患者作为对照组,2017年1-6月由我科转诊的57例患者作为干预组,将患者个人透析报告应用于干预组,患者转诊后一个月分别采用问卷星APP对两组患者透析不良事件发生率和透析治疗参与度进行调查评估,并应用半结构式访谈法评估个人透析报告应用效果。结果:干预组与对照组透析总不良事件发生率、内瘘穿刺失败发生率、透析急性并发症发生率的比较均有统计学差异(P<0.05);干预组患者透析参与度总分及各维度得分均高于对照组,差异有统计学意义(P<0.05)。个人透析报告的临床应用得到医护人员的一致好评。结论:应用个人透析报告有助于降低透析不良事件发生率,提高患者透析治疗参与度,增强医护人员工作满意度和团队凝聚力。
Objective: To explore the application effect of personal hemodialysis report in patients undergoing hemodialysis. Methods: Fifty-five patients with hemodialysis were recruited and assigned into a control group from July to December 2016, while fifty-seven patients with hemodialysis were recruited and assigned into an intervention group from January to June 2017. The personal hemodialysis report was applied for patients in intervention group. The hemodialysis incident rates and participation in hemodialysis treatment of patients were investigated and evaluated. Results: The hemodialysis incident rates in the intervention group were significantly lower than those in the control group (P〈0.05). The participation in hemodialysis treatment of patients in the intervention group were significantly higher than those in the control group (P〈0.05). Conclusion: The application of personal hemodialysis report can effectively reduce hemodialysis incident rate, promote participation in hemodialysis treatment and medical experience of patients.
作者
何丽君
张琳
李瑞
程颖
丁如
许旸
HE Lijun;ZHANG Lin;LI Rui;CHENG Ying;DING Ru;XU Yang(Blood Purification Center, Henan Province People's Hospital, Zhengzhou, 450003, Chin)
出处
《中国护理管理》
CSCD
北大核心
2018年第7期965-969,共5页
Chinese Nursing Management
基金
2015年度河南省医学科技攻关计划项目(201503151)
关键词
个人透析报告
血液透析
分级诊疗
personal hemodialysis report
hemodialysis
hierarchical diagnosis and treatment