MHD治疗的CKD-MBD患者行5E康复模式的延续性护理对iPTH的研究

Study on iPTH of CKD-MBD Patients Treated with MHD Undergoing 5E Rehabilitation Mode Continuous Nursing

目的探究维持性血液透析(MHD)治疗的慢性肾脏病矿物质与骨异常(CKD-MBD)患者行5E康复模式的延续性护理对甲状旁腺激素(iPTH)的作用。方法随机选择2018年7月—2020年6月开展MHD治疗的80例CKD-MBD患者为研究对象,按照选取顺序编号,利用抽签法平分为对照组、研究组,每组40例。对照组采取常规护理措施,研究组在前者基础上开展5E康复模式的延续性护理,比较病情恢复相关指标和自我管理能力。结果研究组护理后校正钙达标率、血磷达标率、iPTH达标率分别为72.50%、70.00%、67.50%,高于对照组37.50%、35.00%、32.50%,差异有统计学意义(χ^(2)=9.899、9.825、9.800,P<0.05);研究组护理后iPTH为(218.67±23.97)pg/mL,低于对照组(342.63±24.12)pg/mL,差异有统计学意义(t=23.055,P<0.05);研究组自我护理能力评分为(62.67±4.97)分,高于对照组(55.63±4.12)分,差异有统计学意义(t=6.897,P<0.05)。结论针对MHD治疗的CKD-MBD患者,进行5E康复模式的延续性护理利于其病情恢复。

Objective To explore the effect of continuation care of 5E rehabilitation model on parathyroid hormone(iPTH)in chronic kidney disease minerals and bone abnormalities(CKD-MBD)patients treated with maintenance hemodialysis(MHD).Methods The 80 CKD-MBD patients who underwent MHD treatment from July 2018 to June 2020 were randomly selected as the research objects,numbered in the order of selection,and divided into control group and study group by lottery,with 40 cases in each group.The control group took conventional nursing measures,and the study group carried out 5E rehabilitation mode continuation nursing based on the former,and compared the recovery related indicators and self-management ability.Results The adjusted calcium compliance rate,blood phosphorus compliance rate,and iPTH compliance rate of the study group after nursing were 72.50%,70.00%,and 67.50%,respectively,which were higher than those of the control group by 37.50%,35.00%,and 32.50%,the difference was statistically significant(t=9.899,9.825,9.800,P<0.05);iPTH of the study group after nursing was(218.67±23.97)pg/mL,which was lower than the control group(342.63±24.12)pg/mL,the difference was statistically significant(t=23.055,P<0.05);the self-care ability score of the study group was(62.67±4.97)points,which was higher than the control group(55.63±4.12)points,the difference was statistically significant(t=6.897,P<0.05).Conclusion For CKD-MBD patients treated with MHD,continuous care in the 5E rehabilitation mode is beneficial to their recovery.