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中文摘要: 目的 探索社区腹膜透析管理模式,提高管理效率,提升治疗效果。方法 将嘉定区安亭社区的52例腹膜透析患者作为干预组,其余社区的74例患者作为对照组,对照组患者采用常规随访,干预组在常规随访的基础上实施以家庭医生为核心的社区腹膜透析管理模式,包括操作指导、健康教育等,干预2年后对管理后的效果进行评估。结果 干预组患者自我管理行为、生活质量和血生化指标均比干预前有明显改善(P<0.01),且干预组患者在干预后各项指标较对照组有明显改善(P<0.01);干预组患者腹膜炎、隧道口感染和导管移位的发生率较对照组明显减少(P<0.01);干预组患者的透析充分率明显高于对照组,而死亡率和进入血液透析率明显低于对照组(P<0.01)。结论 开展以家庭医生为核心的社区腹膜透析管理,能够减缓疾病的发展,改善患者的预后,且患者的生存质量能够得到有效提高,具有推广价值。
Abstract:OBJECTIVE To explore the management mode of community peritoneal dialysis,improve the management efficiency and improve the treatment effect. METHODS 52 patients with peritoneal dialysis in Anting community of Jiading District were selected as intervention group,74 patients from other communities served as control group.Patients in the control group were followed up routinely, while those in the intervention group were given community peritoneal dialysis management mode with family doctor as the core, including operation guidance and health education. After 2 years of intervention, the effect of the management was evaluated. RESULTS The self-management behavior, quality of life and blood biochemical indexes of intervention group were significantly improved compared with those before intervention(P<0.01), and the indexes of the intervention group were significantly improved compared with those of the control group after the intervention (P<0.01).The incidence of peritonitis, tunnel mouth infection and catheter displacement in the intervention group was significantly lower than that in the control group(P<0.01).The dialysis adequacy rate of intervention group was significantly higher than that of control group (P<0.01), and The mortality rate and the rate of entering hemodialysis were significantly lower than those of the control group (P<0.01).CONCLUSION Community peritoneal dialysis management centered on family doctors can effectively delay the progress of kidney disease, improve prognosis and improve the quality of life of patients,which is of great significance for promotion.
文章编号:3202006015 中图分类号:R459.5 文献标志码:
基金项目:
作者 | 单位 |
张维维①,陈 亮①#,李 强①, |
Author Name | Affiliation |
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