家庭护理干预对腹膜透析患者生活质量影响的调查分析(1)
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【摘要】 目的 探讨家庭护理干预对腹膜透析患者生活质量的影响。方法 将我院2008年2月至2009年8月收治的70例腹膜透析患者随机分为干预组和对照组各35例,对照组采用常规治疗护理指导,干预组在此基础上采用电话回访与家庭回访相结合的方式实施家庭护理干预。采用WHO推荐的健康调查简易量表Mos SF一36对2组患者的生活质量进行调查评估。结果 干预组患者在实施家庭护理干预后,生活质量得分及遵医率明显高于对照组,两组差异有统计学意义(P<0.01);而干预组并发症发生率和复发再住院率明显低于对照组,两组差异具有统计学意义(P<0.05或P<0.01)。结论 家庭护理干预可有效地提高家居腹膜透析患者的生活质量。
【关键词】 腹膜透析;家庭护理;生活质量
The effect of family nusring interventions to the quality of life of patients with peritoneal dialysis
CHEN Mei-zhi.
The Kidney Internal Medicine,the centen hospital of Yiyang city,Yiyang Hunan 413000,China
【Abstract】 Objective To explore the effect of family nusring interventions to improve the quality of life (QOL)of patients with peritoneal dialysis.Methods From 2.2008 to 8 2009,70 patients with peritoneal dialysis were divided into the treatment group and the control group at random, each group had 35 patients.The control group were taken the normal therepy nursing direction,the interventions included telephone interviews and home interviews in which the nurses provided instructions in treatment group.WHO-recommended QOL(Mos SF-36) was used to measure and compare the QOL of the 2 groups.Results the treatment group after the family nusring interventions,the score of life qulity and the rate of follow the doctor’s advice were significantly higher than those of the control group,the difference had the statistical purpore(P<0.01).The occur rate of syndrome and rate of relapse in hospital in treatment group were significantly lower than those of the control group,the difference have the statistical purpore(P<0.05 or P<0.01).Conclusion Family nursing interventions can effectively improve the qulity of life of peritoneal dialysis patients.
【Key words】 Peritoneal dialysis;Family nusring;Quality of life
腹膜透析是慢性肾衰竭、尿毒症患者生存的一种治疗手段。由于经济和陪护问题,不得不行居家腹膜透析治疗,其绝大部分治疗工作需要依靠患者自我和家庭的支持来完成。由于长期腹膜透析造成的经济负担及病痛,多数患者失去治疗的信心,焦虑、抑郁情绪重,遵医行为差,影响了透析质量和生活质量[1～2]。为此,我们对居家腹膜透析患者实施护理干预,收到了良好的效果,现报告如下。
1 资料与方法
1.1 一般资料 选择2008年2月至2009年8月收住我科的腹膜透析患者70例,其中男37例,女33例,年龄25～72岁,平均(52.3±10.5)岁。原发病为原发性肾小球疾病28例,糖尿病肾病18例,高血压肾病19例,痛风性肾病3例,红斑狼疮性肾病2例。随机分为干预组和对照组各35例,2组性别、年龄、文化程度、病情、经济状况等差异无统计学意义(P>0.05),具有可比性。
1.2 方法 两组患者均给予常规治疗护理,出院指导,并嘱其复诊。对照组出院后不加干预。干预组出院后由专职护士建立患者回访档案本(回访档案本完整记录患者姓名、性别、年龄、诊断、出院时间、地址、联系电话、患者现状记录以及每次回访内容) 分发出院联系卡,卡上写明出院指导的具体内容,科室联系电话,专科门诊安排情况,采用电话回访和家庭回访,出院后1周内回访1次,以后每2周1次,根据具体情况调节次数,做到随时掌握患者情况,进行护理干预 ......
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