CAJ | 학술논문

目的：探讨健康教育对腹膜透析患者生活质量及腹膜炎预防的影响。方法选择218例腹膜透析患者，按治疗时间分为观察组117例和对照组101例，观察组在对照组处理措施的基础上加健康教育，采用SF-36量表评价干预前后生活质量，观察腹膜炎及其他并发症的发生，分析腹膜炎诱因。结果干预后观察组SF-36量表的躯体疼痛、生理职能、生理健康、心理健康、总体健康、精力、情感职能、社会功能维度评分均呈上升趋势，生活质量得到显著改善（P＜0.05），对照组则改善并不明显（P＞0.05），观察组干预6个月和12个月各维度得分均显著高于对照组（P＜0.05）。两组随访12个月内腹膜炎发生率分别为6.84%和18.81%，观察组腹膜炎总发生率显著低于对照组（P＜0.05），且随时间延长而升高。观察组患者的腹膜炎主要诱因主要是消化系统疾病，观察组无菌原则不合格、个人卫生不良、导管出口感染、其他部位感染比例都显著低于对照组（P＜0.05）。观察组其他腹膜透析并发症发生率均显著低于对照组（P＜0.05）。结论健康教育有效提高腹膜透析患者生活质量及预防并发症的知识，降低腹膜炎发生率。
목적：탐토건강교육대복막투석환자생활질량급복막염예방적영향。방법선택218례복막투석환자，안치료시간분위관찰조117례화대조조101례，관찰조재대조조처리조시적기출상가건강교육，채용SF-36량표평개간예전후생활질량，관찰복막염급기타병발증적발생，분석복막염유인。결과간예후관찰조SF-36량표적구체동통、생리직능、생리건강、심리건강、총체건강、정력、정감직능、사회공능유도평분균정상승추세，생활질량득도현저개선（P＜0.05），대조조칙개선병불명현（P＞0.05），관찰조간예6개월화12개월각유도득분균현저고우대조조（P＜0.05）。량조수방12개월내복막염발생솔분별위6.84%화18.81%，관찰조복막염총발생솔현저저우대조조（P＜0.05），차수시간연장이승고。관찰조환자적복막염주요유인주요시소화계통질병，관찰조무균원칙불합격、개인위생불량、도관출구감염、기타부위감염비례도현저저우대조조（P＜0.05）。관찰조기타복막투석병발증발생솔균현저저우대조조（P＜0.05）。결론건강교육유효제고복막투석환자생활질량급예방병발증적지식，강저복막염발생솔。
Objective To investigate health education on the quality of life and prevention of peritonitis in peritoneal dialysis patients. Methods Total of 218 cases of peritoneal dialysis patients were divided into two groups accorded to duration, observation group (117 cases) and control group (101 cases), the observation group plus health education treat-ment measures above contral group, used the SF-36 scale evaluation of the quality of life before and after intervention was observed peritonitis and other complications, analyzed peritonitis incentives. Results The SF-36 scale body pain, physical function, physical health, mental health, general health, energy, emotional function, social function scores of the upward trend in quality of life after intervention in observation group were significantly improved (P <0.05),that in the control group were not significant improvement (P>0.05), the observation group intervention for 6 months and 12 months each dimension scores were significantly higher(P<0.05). Within 12 months of follow-up peritonitis rates in two group were 6.84% and 18.81% , the overall incidence of peritonitis observation group were significantly lower than the control group (P<0.05), the incidence increasesd with time. Observation group of patients with peritonitis main incen-tives were digestive diseases, unqualified aseptic tehnique poor personal hygiene, catheter exit infection, other parts of the proportion of infections were significantly lower than the control group (P <0.05). Observation group of other peri-toneal dialysis complication rate was significantly lower than the control group (P<0.05). Conclusion Health education effectively improve the knowledge of the peritoneal dialysis patient's quality of life and prevent complications and re-duce the incidence of peritonitis.