尿毒症患者院内自动化腹膜透析报警原因分析及护理对策

Analysis of Causes of Peritoneal Dialysis Alarm in Patients with Uremia and Nursing Countermeasures

目的探讨护士在正确分析腹膜透析机的报警原因,及时进行处理的情况下,护理措施对患者的治疗是否安全有效。方法方便选取在2018年11月—2019年5月之间需要进行自动化腹膜透析机治疗的尿毒症患者135例,用随机数字法将患者分为A组及B组,患者均其中A组65例,男39例,女26例;B组70例,男43例,女27例,两组患者在性别、年龄、透析总月、平均上机时间、教育水平及报销方式差异无统计学意义(P>0.05),对比两组患者使用APD时报警的种类及次数。结果两组患者总报警频率为16.08%与12.03%,差异无统计学意义(χ^2=1.408,P=0.235),在疼痛、引流不畅、腹胀等报警项目A组发生频率为1.51%、6.53%、2.51%,B组为0.93%、7.87%、1.40%,两组差异无统计学意义(χ^2=0.294、0.276、0.692,P>0.05),治疗期间无发生严重并发症,腹膜透析相关感染并发症,如腹膜透析出口感染、隧道感染、腹膜炎,同时未出现腹膜透析漂管现象。结论正确分析腹膜透析机的报警原因,及时进行处理,护理措施及时有效,自动化腹膜透析机治疗对患者是安全的,治疗是有效的,可以预见的是家庭式自动化腹膜透析机有广阔的发展空间,使更多的患者从中受益,做到真正意义的长程、高质量透析。

Objective To explore whether nurses are safe and effective in the treatment of patients when they correctly analyze the cause of the alarm of the peritoneal dialysis machine and deal with it in time.Methods 135 patients with uremia who needed automatic peritoneal dialysis machine treatment between November 2018 and May 2019 were convenienty selected.The patients were divided into group A and group B by random number method,39 males and 26 females;70 people in group B,43 males and 27 females.There were no statistically significant differences in gender,age,total dialysis month,average time on board,education level,and reimbursement methods for the two groups of patients(P>0.05).Types and frequency of alarms when patients in the two groups use APD.Results The total alarm frequency of the patients in the two groups was 16.08% and 12.03%,there was no significant difference(χ^2=1.408,P=0.235),and the frequency of the alarm group A was 1.51%and 6.53%,2.51% in the alarm items such as pain,poor drainage,and bloating,0.93%,7.87%,1.40% in group B,no significant difference between the two groups(χ^2=0.294,0.276,0.692,P>0.05),no serious complications occurred during treatment,and complications of peritoneal dialysis-related infections,such as peritoneal dialysis outlet infection,tunnel infection,peritonitis,and there is no peritoneal dialysis drift tube phenomenon.Conclusion The cause of the alarm of the peritoneal dialysis machine is correctly analyzed,and the treatment measures are timely and effective.The automatic peritoneal dialysis machine treatment is safe for the patient and the treatment is effective.It is foreseeable that the home-style automatic peritoneal dialysis machine has a broad development space,so that more patients benefit from it,to achieve a truly long-term,high-quality dialysis.