CAJ | 학술논문

目的：探讨延伸护理应用于居家腹膜透析患者的临床疗效，并为该类患者提高新型护理服务。方法选取我院于2011年6月至2013年12月收治的96例行居家腹膜透析治疗的肾功能衰竭患者，采用随机数字表法随机分为研究组和对照组，每组各48例，其中对照组采取常规护理方法及措施，研究组则在此基础上采取延伸护理服务，主要包括随访及家庭护理。比较两组患者的腹膜炎发生率、住院率及不良事件发生率。结果研究组腹膜炎发生率及再次住院率均低于对照组(P<0.05)。研究组水负荷致死、血钾异常及收缩压>140 mmHg发生率低于对照组，差异有统计学意义(P<0.05)。结论延伸护理能有效降低居家腹膜透析患者腹膜炎发生率，提高患者治疗依从性，延长了患者生存时间，具有良好的治疗效益。
목적：탐토연신호리응용우거가복막투석환자적림상료효，병위해류환자제고신형호리복무。방법선취아원우2011년6월지2013년12월수치적96례행거가복막투석치료적신공능쇠갈환자，채용수궤수자표법수궤분위연구조화대조조，매조각48례，기중대조조채취상규호리방법급조시，연구조칙재차기출상채취연신호리복무，주요포괄수방급가정호리。비교량조환자적복막염발생솔、주원솔급불량사건발생솔。결과연구조복막염발생솔급재차주원솔균저우대조조(P<0.05)。연구조수부하치사、혈갑이상급수축압>140 mmHg발생솔저우대조조，차이유통계학의의(P<0.05)。결론연신호리능유효강저거가복막투석환자복막염발생솔，제고환자치료의종성，연장료환자생존시간，구유량호적치료효익。
Objective To investigate the clinical efficacy of extended care for patients with peritoneal dialysis at home, and to improve the model of nursing service for the patients. Methods Ninety-six patients of renal failure un-dergoing peritoneal dialysis at home admitted in our hospital from Jun. 2011 to Dec. 2013 were randomly divided into the study group and the control group, with 48 cases in each group. The control group received routine nursing care methods and measures, while the study group received extended care (including follow-up and family nursing) on the ba-sis of the control group. The incidence of peritonitis, hospitalization rate and the incidence of adverse events were com-pared between the two groups. Results The incidence of peritonitis and hospitalization rate in the study group were sig-nificantly lower than those in the control group (P<0.05). The water load lethal, potassium abnormality and the inci-dence of systolic blood pressure>140 mmHg the study group were significantly lower (P<0.05). Conclusion Extend-ed care can effectively reduce the incidence of peritonitis in patients undergoing peritoneal dialysis at home, and im-prove the patients compliance, prolong the survival time of patients, which has good clincial effect.