延续护理对持续性非卧床腹膜透析患者生活质量的影响
The Influence of Transitional Care Programme on the Quality of Life of Patients Undergoing Continuous Ambulatory Peritoneal Dialysis
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摘要: 目的 探讨延续护理的实施对持续性非卧床腹膜透析患者生活质量的影响.方法 以昆明医科大学第二附属医院肾脏内科接受持续性非卧床腹膜透析治疗的患者为研究对象, 遵循随机对照试验原则将患者分为试验组和对照组.试验组接受延续护理模式, 包括出院前干预和出院后干预2个部分.对照组接受常规照护模式.采用KDQOL (Kidney Disease Quality of Life) 问卷于患者出院前1天、出院后第6周、第12周分别进行生活质量的调查;采用SPSS软件对研究数据进行统计分析.结果 2组患者出院前生活质量均分比较差异无统计学意义 (P>0.05) ;第6周时, 试验组生活质量总均分高于对照组, 且差异有统计学意义 (P<0.05) , 5个维度中仅有躯体健康和症状与不适2个维度的分数差异有统计学意义 (P<0.05) ;第12周时, 试验组生活质量总均分仍高于对照组, 且差异有统计学意义 (P<0.05) , 5个维度中仅有肾脏负担这一维度的分数差异无统计学意义 (P>0.05) , 但试验组分数高于对照组.结论 延续护理在CAPD患者中实施, 能够提高患者出院后的生活质量, 是一种能够将卫生保健福利最大化的新兴医疗护理服务模式.
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关键词:
- 延续护理 /
- 持续性非卧床腹膜透析 (CAPD) /
- 生活质量
Abstract: Objective To develop transitional care model and test its effectiveness in a sample of patients receiving continuous ambulatory peritoneal dialysis (CAPD) . Methods From February 2013 to September2014, CAPD patients from nephrology department of the second affiliated hospital were randomly divided into two groups : the study group and the control group. The patients of study group were cared by the transitional care model during hospitalization and follow-up after 12 weeks of discharge while the control group were cared by the conventional care model. Patients were investigated with the KDQOL ( Kidney Disease Quality of Life) questionnaire in the day before discharge, then at week 6 and week 12 after discharge, respectively. The collected data were analyzed by the statistical software SPSS18.0 and the statistical methods included statistical description, t-test, chi-square test. Results The mean score of quality of life compared with study group and control group at the day before discharge, there were no statistically significant differences between two group (P>0.05) . At week 6, the study group had higher mean scores for quality of life than control group, there were statistically significant differences between two group (P <0.05) , however, there were statistically significant differences on physical health and symptom/problem in five dimensions at week 6 (P <0.05) . At week 12, the study group had significantly higher mean scores for quality of life than control group, there were statistically significant differences between two group (P <0.05) , nevertheless, there were no statistically significant differences on burden of kidney disease in five dimensions at week 12 (P>0.05) . Conclusions The transitional care model can improve CAPD patients' quality of life. It is a kind of emerging health care service pattern that could to maximize the health care benefits. -
[1]茶春丽, 李靖娟, 陈国姝, 等.透析患者微炎症状态与血脂代谢及钙磷代谢的相关性[J].昆明医科大学学报, 2017, 38 (1) :41-45. [2]陈香美, 周建辉.中国腹膜透析技术发展现状与未来[J].中国实用内科杂志, 2013, 33 (6) :413-415. [3] [3]CASKEY F J, WORDSWORTH S, BEN T, et al.Early referral and planned initiation of dialysis:what impact on quality of life[J].Nephrol Dial Transplant, 2003, 18 (1) :1330-1338. [4] [4]NAYLOR M, KEATING S.Transitional Care:Moving patients from one care setting to another[J].National of Health Setutitsni, 2008, 108 (9) :58-63. [5] [5]WONG FKY, MOK MPH, CHAN T, et al.Nurse follow-up of patients with diabetes:randomized controlled trial[J].Journal of Advanced Nursing, 2005, 50 (4) :391-402. [6] [6]CAR, J.&SHEIKH, A.Telephone consultation[J].British Medical Journal, 2003, 326 (5) :966-969. [7]张俊娥, 郑美春, 黄金月.结肠造口患者出院早期电话干预延续护理模式之构建[J].中国护理管理, 2011, 11 (8) :31-35. [8]谢凤兰, 成守珍, 蔡卫, 等.电话随访实施延续护理对提高护理满意度的效果[J].中国医院管理, 2013, 33 (4) :52-53. [9]杨倩蓉, 杨明莹, 王剑松.腹膜透析患者延续护理服务需求调查[J].护理学杂志, 2014, 29 (13) :77-78. [10] [10]XINGJUAN TAO, SUSAN KA YEE CHOW, FRANCES KAM YUET WONG.Determining the validity and reliability of the Chinese version of the Kidney Disease Quality of Life Questionnaire (KDQOL-36) [J].BMCNephrology, 2014, 15 (12) :115-121. [11]孟方, 段培蓓, 胡倩.我国延续性护理研究现状的文献计量学分析[J].中国护理管理, 2016, 16 (4) :540-544. [12] [12]WONG FKY, CHOW SKY, CHAN TMF, et al.Comparison of effects between home visits with telephone calls and telephone calls only for transitional discharge support:a randomized controlled trial[J].BMC Medicine, 2013, O (8) :1-7. [13]田峰, 王莉, 李艳, 等.延续性护理在居家腹膜透析患者管理中的应用[J].四川医学, 2014, 35 (3) :405-407. [14]王惠琴, 张凤英, 金静芬, 等.持续性腹膜透析患者的延续性护理[J].中国护理管理, 2012, 12 (9) :15-17. [15] [15]COLEMAN E A, SMITH J D, FRANK J C, et al.Preparing Patients and Caregivers to Participate in Care Delivered Across Settings:The Care Transitions Intervention[J].J Am Geriatr Soc, 2004, 52 (11) :1817-1825. [16]曹楠, 刘启贵.国内外延续护理研究的可视化分析[J].中国康复理论与实践, 2017, 23 (2) :226-231. [17]白彝华, 潘毅, 蒋红樱, 等.抑郁状态对维持性腹膜透析患者发生骨质疏松的影响[J].昆明医科大学学报, 2016, 37 (7) :74-77. [18]蔡晓雯, 王利平, 宁志芳, 等.精细化延续护理在腹膜透析患者中的临床应用体会[J].中国医药科学, 2016, 6 (17) :115-145. [19] 尤云, 陈孟华.腹膜透析对慢性肾衰竭患者心理及生活质量的影响[J].宁夏医学杂志, 2011, 33 (14) :318-320. [20]白彝华, 潘毅, 蒋红樱, 等.云南地区腹膜透析患者发生心脑血管事件的危险因素分析[J].昆明医科大学学报, 2016, 37 (4) :95-98. [21]万巧琴, 么莉, 侯淑肖, 等.基于医院延续护理开展现状与问题的质性研究[J].中国护理管理, 2013, 13 (10) :38-41. [22]杨丽敏, 周婷婷, 沈燕敏, 等.国内慢病延续护理现况及启示[J].护理学杂志, 2016, 31 (17) :93-96. [23]张英, 陈姝妮, 陈思芳, 等.延续性护理在带T管出院患者中应用的研究[J].川北医学院学报, 2015, 30 (6) :868-870. -
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