延续性健康教育联合常规护理在腹膜透析患者中作用.docVIP

延续性健康教育联合常规护理在腹膜透析患者中作用 　　[摘要]目的 延续性健康教育联合常规护理在腹膜透析患者中临床效果。方法 选取2014年2月～2016年12月在我院治疗100例置管的腹膜透析患者作为研究对象，按照随机数字表法平均分为研究组与对照组，每组50例，对照组以常规护理，研究组予以延续性健康教育联合常规护理。比较两组患者出院8个月时遵医嘱情况、并发症发生情况、再入院情况、护理满意情况。结果 研究组患者遵医嘱比例显著高于对照组（P0.05）。研究组并发症发生率、再入院率显著低于对照组（P0.05）。研究组护理满意度显著高于对照组（P0.05）。结论 在置管的腹膜透析患者护理中选择延续性健康教育联合常规护理可有效提高患者遵医行为，降低并发症发生率及再入院率，有利于建立和谐的护患关系。 　　[关键词]腹膜透析；延续性健康教育；并发症；生活质量 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）1（b）-0179-03 　　[Abstract]Objective To explore the clinical effect of continuous health education combined with routine nursing in peritoneal dialysis patients.Methods From February 2014 to December 2016，100 patients with peritoneal dialysis who treated in our hospital，According to the random number method，50 cases in each group were divided into study group and control group were selected.The control group received routine nursing，and the study group received continuous health education combined with routine nursing.The compliance，complications，readmission and nursing satisfaction were compared between the two groups at 8 months after discharge.Results The compliance rate of the study group was significantly higher than that of the control group （P0.05），the complication rate and readmission rate in the study group were significantly lower than those in the control group （P0.05）.The nursing satisfaction of the study group was significantly higher than that of the control group （P0.05）.Conclusion In patients with peritoneal dialysis catheter care in the selection of continuing health education combined with routine nursing can effectively improve the compliance behavior of patients，reduce the incidence of complications and readmission rate，conducive to the establishment of a harmonious relationship between nurses and patients. 　　[Key words]Peritoneal dialysis；Continuing health education；Complication；Quality of life 　　腹膜透析是?K末期肾病的重要治疗方式之一。如何做好腹膜透析患者患者，改善患者健康状况，是需要重点考虑的问题。然而研究表明，腹膜透析患者出院后，因缺乏监督，加上不能按照要求进行操作，治疗依从性不高，导致患者预后不理想[1]。因此需要给予患者有效的干预，提高