【摘要】：目的探討5E康復(fù)模式應(yīng)用于改善尿毒癥腹膜透析患者液體攝入依從性中的臨床效果。方法將168例腹膜透析患者,按照隨機數(shù)字表法分為兩組,對照組(n=84)采用常規(guī)健康教育;觀察組(n=84)實施5E康復(fù)干預(yù),主要內(nèi)容包括鼓勵、教育、鍛煉、工作及評估。對干預(yù)前后兩組患者的每天飲水量、每天飲食含水量、每天攝鹽量、水腫程度、體重、血壓、尿量和超濾量進行評估和比較。結(jié)果干預(yù)前后,觀察組患者飲水量、飲食含水量、飲食含鹽量均減少,差異有統(tǒng)計學(xué)意義(P0.05)。干預(yù)前后,兩組患者水腫分級情況有差別,觀察組水腫程度明顯改善,對照組變化不大,差異有統(tǒng)計學(xué)意義(P=0.004)。干預(yù)前后,兩組患者體重增加,收縮壓減少,差異有統(tǒng)計學(xué)意義(P=0.000)。觀察組干預(yù)后舒張壓較干預(yù)前降低,差異有統(tǒng)計學(xué)意義(P=0.022),而對照組干預(yù)前后舒張壓差異無統(tǒng)計學(xué)意義(P=0.056)。干預(yù)后兩組患者尿量減少,組內(nèi)差異均有統(tǒng)計學(xué)意義(P0.05);干預(yù)后兩組患者超濾量變化差異均無統(tǒng)計學(xué)意義(P0.05)。結(jié)論應(yīng)用5E康復(fù)護理模式可顯著改善腹膜透析患者水鹽攝入依從性不足的問題,減輕患者容量負荷,值得臨床進一步推廣使用。
[Abstract]:Objective to investigate the clinical effect of 5e rehabilitation model in improving fluid intake compliance of uremic peritoneal dialysis patients. Methods 168 patients with peritoneal dialysis were divided into two groups according to random number table, the control group (n = 84) was treated with routine health education, the observation group (n = 84) was treated with 5e rehabilitation intervention, the main contents included encouragement, education, exercise, work and evaluation. The daily drinking water, daily dietary water content, daily salt intake, edema degree, body weight, blood pressure, urine volume and ultrafiltration were evaluated and compared between the two groups before and after intervention. Results before and after intervention, the quantity of drinking water and salt content of diet decreased in the observation group, the difference was statistically significant (P0.05). Before and after intervention, there was a difference in the grade of edema between the two groups. The degree of edema in the observation group was obviously improved, while the change in the control group was not significant (P0. 004). Before and after intervention, the two groups gained weight and decreased systolic blood pressure, the difference was statistically significant (P0. 000). The diastolic blood pressure in the observation group was significantly lower than that before the intervention (P0.022), but there was no significant difference in the DBP before and after intervention in the control group (P0. 056). After intervention, the urine volume of the two groups decreased, the difference was statistically significant (P0.05); after intervention, there was no significant difference in ultrafiltration volume between the two groups (P0.05). Conclusion the application of 5e rehabilitation nursing model can significantly improve the problem of insufficient water and salt intake compliance in peritoneal dialysis patients, reduce the volume load of patients, and is worthy of further clinical application.
【作者單位】： 廣西醫(yī)科大學(xué)第一附屬醫(yī)院腎內(nèi)科;廣西醫(yī)科大學(xué)第一附屬醫(yī)院心內(nèi)科;
【分類號】：R473.5

【參考文獻】

相關(guān)期刊論文 前5條

1 劉娟;楊盈盈;;協(xié)議護理對腹膜透析患者水鹽攝入依從性的影響[J];當代護士(下旬刊);2015年07期

2 龔蓉;陳澤君;全大勇;舒英;皮靜婧;梁柱;佘寧蘭;范妙儀;;不同腹膜透析處方的臨床療效觀察與分析[J];四川醫(yī)學(xué);2014年11期

3 許義;汪小華;;腹膜透析患者容量負荷評估及容量管理的研究進展[J];護理管理雜志;2013年09期

4 呂晶;薛武軍;尹愛萍;靳引紅;李昭;毋欣桐;;容量負荷對腹膜透析患者營養(yǎng)狀況的影響研究[J];中國全科醫(yī)學(xué);2013年18期

5 馮萍;仇靜波;汪小華;鞠陽;龐建紅;吳麗華;趙欣;;體重管理對慢性心力衰竭患者再入院率的影響[J];中華護理雜志;2013年03期

【共引文獻】

相關(guān)期刊論文 前10條

1 楊嘉琳;徐仲;龍振鴻;;血管外肺水指數(shù)變化和液體平衡對重度子癇前期患者預(yù)后的影響研究[J];中國醫(yī)學(xué)創(chuàng)新;2017年05期

2 羅怡欣;黃燕林;侯璐蒙;李浩宇;鄒寶林;;5E康復(fù)護理模式在改善腹膜透析患者水鹽攝入依從性中的應(yīng)用[J];廣東醫(yī)學(xué);2017年03期

3 陸敏慧;;護理管理干預(yù)對腹透患者服藥依從性的影響研究[J];中醫(yī)藥管理雜志;2017年02期

4 曹麗娜;王林;葉晴;梁美彩;譚櫻;陽夢英;;容量自我管理的教育與隨訪對持續(xù)非臥床腹膜透析患者心功能的影響[J];護理實踐與研究;2016年24期

5 黃桂瓊;洪曉華;周俏棋;陳洪;李榮;姚志強;;醫(yī)院與社區(qū)聯(lián)合進行慢性心力衰竭中西醫(yī)結(jié)合專病管理模式的探索[J];中國當代醫(yī)藥;2016年35期

6 吳桃;唐雨璇;虞彬;;延伸護理對老年慢性心力衰竭患者生活質(zhì)量的影響[J];世界最新醫(yī)學(xué)信息文摘;2016年95期

7 劉賽賽;單巖;徐颯;張琳;高豆青;常天穎;;腹膜透析患者容量管理的研究進展[J];中華護理教育;2016年11期

8 郭廣亞;宋彤新;趙明星;;慢性心力衰竭患者的飲食體重管理及意義分析[J];健康之路;2016年10期

9 劉婷婷;王晶晶;;心血管病患者體重管理研究進展[J];護理實踐與研究;2016年11期

10 王U，

本文編號：2403180