CAJ | 학술논문

目的研究探讨透析前教育对终末期肾病(ESRD)患者透析时机选择的影响.方法选择血肌酐(Scr)＞442μmol/L、内生肌酐清除率(Ccr)＜20 ml/min的慢性肾功能衰竭(CRF)患者129例,随机分为实验组70例和对照组59例.实验组行规范化透析前教育,对照组行常规宣教.比较2组患者入组时基本状况、透析时机的选择、开始透析及透析后6,12个月的抑郁状况及生活质量.结果 2组患者入组时年龄、性别、文化程度、医疗付费方式、就业、Scr、Ccr均无显著差异,透析时机的选择实验组Ccr为(9.49±0.77)ml/min,对照组Ccr为(4.54±1.79)ml/min,2组比较有显著差异,开始透析及透后6,12个月2组的抑郁状况及生活质量比较有显著差异.结论加强透析前教育有利于ESRD患者适时开始透析并可有效提高患者透析后的生活质量.
목적 연구탐토투석전교육대종말기신병(ESRD)환자투석시궤선택적영향.방법 선택혈기항(Scr)＞442μmol/L、내생기항청제솔(Ccr)＜20 ml/min적만성신공능쇠갈(CRF)환자129례,수궤분위실험조70례화대조조59례.실험조행규범화투석전교육,대조조행상규선교.비교2조환자입조시기본상황、투석시궤적선택、개시투석급투석후6,12개월적억욱상황급생활질량.결과 2조환자입조시년령、성별、문화정도、의료부비방식、취업、Scr、Ccr균무현저차이,투석시궤적선택실험조Ccr위(9.49±0.77)ml/min,대조조Ccr위(4.54±1.79)ml/min,2조비교유현저차이,개시투석급투후6,12개월2조적억욱상황급생활질량비교유현저차이.결론 가강투석전교육유리우ESRD환자괄시개시투석병가유효제고환자투석후적생활질량.
Objective To investigate the predialysis education on dialysis timing of patients with end-stage renal disease (ESRD). Methods 129 patients with chronic renal failure (CRF) and serum creatinine(Scr)＞442μmol/L, endogenous creatinine clearance rate (Ccr)＜20 ml/min were randomly divided into the experimental group(70 cases) and the control group(59 cases), the experimental group received predialysis education, the control group received routine care.The basic situation, dialysis timing, depression and quality of life on the 6th,12th months after dialysis were assessed. Results There was no significant difference in age, sex, education background, health care payment manners, employment, serum creatinine, endogenous creatinine clearance rate before education.For the timing of dialysis, Ccr for the experimental group was (9.49 ± 0.77)ml/min, Ccr for the control group was (4.54 ±1.79) ml/min,the difference was significant, depression and quality of life between two groups after 6,12 months of dialysis was also statistically different. Conclusions Strengthening predialysis education is conducive to a timely start of dialysis and can effectively improve the quality of life in patients with ESRD.