延续护理在腹膜透析治疗肾病综合征伴急性肾损伤患者中临床价值.docVIP

延续护理在腹膜透析治疗肾病综合征伴急性肾损伤患者中临床价值 　　【摘要】 目的：通过临床试验分析并讨论延续护理在腹膜透析治疗肾病综合征伴急性肾损伤患者中的临床价值。方法：选取2010年6月-2013年6月笔者所在医院收治的需要进行腹膜透析来治疗肾病综合征并且伴随急性肾损伤的患者181例。将上述患者按照随机分配的方法分为两组，其中观察组患者91例，对照组患者90例。两组患者均采用腹膜透析法治疗肾病综合征伴急性肾损伤，观察组患者在护理时采用延续护理，对照组患者采用普通二级护理。结果：半年后对照组患者的依从性低于观察组，而观察组患者的并发症发生率明显低于对照组，差异均有统计学意义（P0.05）。结论：在腹膜透析治疗肾病综合征伴急性肾损伤患者护理时使用延续护理后患者心态明显改变，生活质量明显提高，建议在临床上广泛推广。 　　【关键词】 延续护理； 腹膜透析； 肾病综合征； 急性肾损伤 　　中图分类号 R473.5 文献标识码 B 文章编号 1674-6805（2015）24-0083-02 　　The Clinical Value of Continue Nursing on Peritoneal Dialysis Patients with Acute Nephrotic Syndrome and Kidney Injury/WANG Yong-mei.//Chinese and Foreign Medical Research，2015，13（24）：83-84 　　【Abstract】 Objective：To analyze and discuss the clinical value of continue nursing on peritoneal dialysis patients with nephrotic syndrome and acute kidney injury through clinical discussion.Method：181 cases with nephrotic syndrome and acute kidney injury who needed peritoneal dialysis in our hospital from June 2010 to June 2013.They were randomly divided into the observation group（91 cases） and the control group（90 cases）.Two groups were received peritoneal dialysis treatment for nephrotic syndrome with acute kidney injury，the observation group was added continue nursing，the control group was treated by ordinary secondary care.Result：After half a year the compliance of the control group was significantly lower than the observation group，the incidence of complications of the observation group was obviously lower than the control group，there were statistically significant（P0.05）.Conclusion：Patients’ mentality change obviously by use of continue nursing for peritoneal dialysis patients with nephrotic syndrome and acute kidney injury，their quality of life improved obviously，it can be widely applied clinically. 　　【Key words】 Continue nursing； Peritoneal dialysis； Nephrotic syndrome； Acute kidney injury 　　First-author’s address：The First People’s Hospital of Hengyang City，Hengyang 421000，China 　　doi：10.14033/j.cnki.cfmr.2015.24.045