持续性非卧床腹膜透析患者容量超负荷的影响因素分析.pdfVIP

现代临床护理(Modem Clinical Nursing)201 1.10 (l2) ·论著· 持续性非卧床腹膜透析患者容量超负荷的影响因素分析* 谢文，易春燕，林建雄，阳晓 (中山大学附属第一医院，广东广州，51∞80) [摘要] 目的 探讨持续性非卧床腹膜透析(continuous 皿IDulatory peritoneal dialysis ,CAPD)患者容量超负荷的影响因素。方法 对 2∞8 年 9 月」∞9 年 3 月在本院门诊随访的 92 例 CAPD 患者进行调查，按其水肿指数是否高于正常值 0.40 分为高水肿指数组(43 例) 和正常水肿指数组(49 例) ，应用 logistic 国归分析筛奄患者容量超负荷的影响因素。结果 单因素分析显示，高水肿指数组与正常水肿 指数组患者年龄、是杏患糖尿病、透析龄、尿量、总出液量、血浆肌西浓度比值( D/Pcr) 、血清白蛋白水平、自我效能方面组归l 比较，差异具 有统计学意义(均 P 0.05 )。多因素分析显示，向我效能、血清白蛋白水平及年龄是容量超负荷影响因素，而且发现患者自我效能、血 清白蛋白水平与水肿指数呈负相关，年龄与水肿指数呈正相关(均 P 0.05 ，)。结论 自我效能、血清白蛋白水平及年龄是 CAPD 患者 容量超负荷的影响肉素，而且患者自我效能及血清白蛋白水平越低，年龄越大，其水肿指数越高，应针对性地进行控制。 [关键诵] 腹膜透析;容量超负荷;水肿指数:向我效能 [申图分类号] R473.5 [文献标识码] A [文章编号] 1671-8283(2011)12-(削1 -05 [001] 10.3969今issn.l 671-8283.201 1.1 2ω1 [Abstract] Objec咀ve To investigate the risk factoIS of fluid overload in continuous 四IDulato巧 peritoneal dialysis (CAPD). Meth咄 By cross-sectional study , 92 CAPD patients who followed-up in 0山 hospital from Septentber 2008 10 March 2009 were included. According to their me四 edema index (ECWITBW = 0.40 土 0.14). Ihey were divided into two groups. fluid overload group (n = 43) and normal fluid group (n = 49). Mu Itivariate statislical analysis with logistic regression w，国 used to analyze the above variables 10 determine risk factoIS of fluid overload. ωults By univariate analysis , CAPD patients age , diabetes , the duration on PD. urine volume , volume ejection , D/Pcr , serum albumin , total fluid removal ，皿d self-efficacy were significantly related with fluid overl,?ad (all P 0.05). The risk factoIS of fluid overload included self-efficacy. the level of serum albumin and a伊. Conclusions Self-e伍cacy ， the level of serum albumin and age are risk factoIS of fluid overload in CAPD patients. The lower 由e self-efficacy and the serum albumin level and the older the a