發(fā)布時(shí)間：2019-01-06 18:41

【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(jī)數(shù)字表法分為兩組,對(duì)照組(n=84)采用常規(guī)健康教育;觀察組(n=84)實(shí)施5E康復(fù)干預(yù),主要內(nèi)容包括鼓勵(lì)、教育、鍛煉、工作及評(píng)估。對(duì)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(jìn)行評(píng)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(jì)學(xué)意義(P0.05)。干預(yù)前后,兩組患者水腫分級(jí)情況有差別,觀察組水腫程度明顯改善,對(duì)照組變化不大,差異有統(tǒng)計(jì)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(jì)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(jì)學(xué)意義(P=0.022),而對(duì)照組干預(yù)前后舒張壓差異無(wú)統(tǒng)計(jì)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(jì)學(xué)意義(P0.05);干預(yù)后兩組患者超濾量變化差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論應(yīng)用5E康復(fù)護(hù)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(wèn)題,減輕患者容量負(fù)荷,值得臨床進(jìn)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(hào)】：R473.5

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