探讨风险防控质控护理模式对肾衰竭腹膜透析患者生化指标、肾功能指标的影响

To explore the influence of risk prevention and quality control nursing mode on biochemical indicators and renal function indicators of patients with renal failure undergoing Peritoneal dialysis

目的探究对肾衰竭腹膜透析患者给予风险防控质控护理模式进行干预的可行性,以为临床干预提供有效依据。方法选取韶关市第一人民医院肾病风湿血液科收治的肾衰竭腹膜透析患者82例纳入研究,时间范围为2022年3月-2023年3月。以干预方案不同将其分成两组,每组各41例。其中对照组给予常规护理模式进行干预,观察组给予风险防控质控护理模式进行干预。比较两组干预前后生化指标、肾功能、机体微炎症、生存质量的变化。结果两组干预前生化指标、肾功能、机体微炎症、生存质量存在均衡性,组间比较,无统计学意义(P>0.05)。观察组干预后前白蛋白、转铁蛋白、血红蛋白、白蛋白含量均高于对照组,24h尿蛋白定量、血肌酐、尿素氮水平均低于对照组,组间比较均具有统计学意义(P<0.05)。观察组干预后超敏C反应蛋白、肿瘤坏死因子-a、白细胞介素-6水平均低于对照组,肾病透析相关生存质量评分均高于对照组,组间比较均具有统计学意义(P<0.05)。结论对肾衰竭腹膜透析患者给予风险防控质控护理模式可取得较理想的干预效果,其能够改善患者生化指标、肾功能指标,对预后有重大意义。

Objective To explore the feasibility of risk prevention and quality control nursing mode for Peritoneal dialysis patients with renal failure,so as to provide effective basis for clinical intervention.Methods 82 cases of Peritoneal dialysis patients with renal failure admitted to the Department of Nephrology,Rheumatology and Hematology of the First People's Hospital of Shaoguan City were included in the study,and the time range was from March 2022 to March 2023.Divide them into two groups based on the differences in intervention plans,with 41 cases in each group.The control group received routine care and treatment for intervention,while the observation group received risk prevention and quality control nursing mode for intervention.Compare the changes in biochemical indicators,renal function,body micro inflammation,and quality of life between the two groups before and after intervention.Result There was a balance between the two groups in terms of biochemical indicators,renal function,body micro inflammation,and quality of life before intervention,and there was no statistically significant difference between the groups(P>0.05).After intervention,the contents of albumin,transferrin,hemoglobin and albumin in the observation group were higher than those in the control group,and the 24-hour urine protein quantity,serum creatinine and Blood urea nitrogen were lower than those in the control group,with statistical significance(P<0.05).After intervention,the levels of high-sensitivity C-reactive protein,tumor necrosis factor-a,Interleukin 6 in the observation group were lower than those in the control group,and the renal dialysis related quality of life scores in the observation group were higher than those in the control group,with statistical significance between groups(P<0.05).Conclusion The quality control nursing mode of risk prevention and control for Peritoneal dialysis patients with renal failure has a higher intervention effect,which can improve the biochemical indicators and renal function indicators of patients,and has great significance for the prognosis.