CAJ | 학술논문

目的：探讨降低持续不卧床腹膜透析（ CAPD ）患者腹膜炎发生率的方法。方法将2012年1—12月CAPD患者108例设为对照组，2013年1—12月CAPD患者150例设为试验组。试验组对传统管理的腹膜透析患者发生腹膜炎原因进行分析，在借鉴病房患者分级护理制度的基础上，制定实施腹膜透析患者分级管理方法，比较实施分级管理前后两组患者的腹膜炎发生率。结果分级管理后，腹膜透析患者腹膜炎发生率降低，由25．9次／患者月降至64．0次／患者月，两组比较差异具有统计学意义（χ2＝13．665，P＜0．01）。结论分级管理腹膜透析患者的方法可以降低腹膜透析中腹膜炎发生率，提高患者的自我管理能力及依从性。
목적：탐토강저지속불와상복막투석（ CAPD ）환자복막염발생솔적방법。방법장2012년1—12월CAPD환자108례설위대조조，2013년1—12월CAPD환자150례설위시험조。시험조대전통관리적복막투석환자발생복막염원인진행분석，재차감병방환자분급호리제도적기출상，제정실시복막투석환자분급관리방법，비교실시분급관리전후량조환자적복막염발생솔。결과분급관리후，복막투석환자복막염발생솔강저，유25．9차／환자월강지64．0차／환자월，량조비교차이구유통계학의의（χ2＝13．665，P＜0．01）。결론분급관리복막투석환자적방법가이강저복막투석중복막염발생솔，제고환자적자아관리능력급의종성。
Objective To explore the method to reduce the incidence of peritonitis patients with continuous ambulatory peritoneal dialysis ( CAPD ) .Methods We selected 108 patients with CAPD during January to December 2012 as control group and 150 patients received CAPD from January to December 2013 as experimental group.We analyzed reasons of peritonitis among patients with CAPD who received traditional management of CAPD, and draw on the experience of ward hierarchical management to set up and carry out CAPD patient′s hierarchical management.We compared the rates of peritonitis between two groups.Results After utilization of CAPD patient′s hierarchical management, the incidence of peritonitis reduced dramatically from 25.9 patient month once to 64.0 patient month once (χ2 =13.665;P<0.01).Conclusions The method of CAPD patient′s hierarchical management can effectively decrease the rate of peritonitis in peritoneal dialysis center and promote patient′s self-management and compliance.