CAJ | 학술논문

目的探讨临床护理路径(CNP)应用于慢性肾衰竭患者腹膜透析治疗的护理体会.方法行腹膜透析治疗的98例慢性肾衰竭患者作为研究对象,随机分为观察组和对照组,对照组给予常规护理,观察组给予CNP护理.结果健康知识掌握情况中,两组的慢性肾衰竭和腹膜透析相关知识掌握情况比较差异无统计学意义(P＞0.05),观察组饮食,运动和心理调整等的掌握情况均显著优于对照组(P＜0.01),透析操作掌握时间显著短于对照组(P＜0.01),护理满意度显著高于对照组(P＜0.01).结论基于对患者进行个体性评估分析展开的CPN护理,对于促进患者身心方面的整体调整具有积极意义,体现了以患者为中心的护理服务理念,值得临床考虑.
목적 탐토림상호리로경(CNP)응용우만성신쇠갈환자복막투석치료적호리체회.방법 행복막투석치료적98례만성신쇠갈환자작위연구대상,수궤분위관찰조화대조조,대조조급여상규호리,관찰조급여CNP호리.결과 건강지식장악정황중,량조적만성신쇠갈화복막투석상관지식장악정황비교차이무통계학의의(P＞0.05),관찰조음식,운동화심리조정등적장악정황균현저우우대조조(P＜0.01),투석조작장악시간현저단우대조조(P＜0.01),호리만의도현저고우대조조(P＜0.01).결론 기우대환자진행개체성평고분석전개적CPN호리,대우촉진환자신심방면적정체조정구유적겁의의,체현료이환자위중심적호리복무이념,치득림상고필.
Objective To explore the nursing experiences on clinical nursing pathway (CNP) used for patients with chronic renal failure (CRF) undergoing therapy of peritoneal dialysis.Methods 98 cases of patients with CRF undergoing therapy of peritoneal dialysis were divided into control group and experimental group,control group was given routine nursing and experimental group was given CNP care.Results The acquisition of knowledge about CRF and peritoneal dialysis in two groups had no significant difference (t=1.818,P＞0.05; t=1.464,P＞0.05),diet,sports and psychological recovery in experimental group were significantly better than those in control group (t=8.330,P＜0.01 ; t=8.405,P＜0.01 ; t=8.533,P＜0.01).The mastering time of the dialysis operation in experimental group was significantly shorter than that in control group,satisfaction degree of nursing in experimental group was also significantly better than that in control group (x2=5.466,P＜0.01; x 2=5.237,P＜0.01).Conclusion The CNP nursing based on individual evaluation is meaningful for prompting integral adjustment of patients' mind and body,and shows the nursing principle of patientoriented,so it deserves consideration in clinic.