吴恋　杨小娟　闵宝妹

[摘要] 目的 探讨改进延续护理模式对外地持续性腹膜透析患者护理质量的影响。 方法 选取2014年6月5日～2016年6月5日期间我院收治的120例外地持续性腹膜透析患者，将其随机分组，两组各60例，观察组和对照组分别采用改进延续护理模式和常规护理，比较两组患者的生活质量、总并发症发生率、治疗失败率。 结果 观察组患者的心理功能评分（98.36±0.21）分、躯体功能评分（97.63±1.28）分、物质生活评分（97.55±1.42）分、社会功能评分（96.35±2.15）分、总并发症发生率（3.33%）、总治疗失败率（1.67%）均优于对照组（P<0.05）。 结论 改进延续护理模式在持续性腹膜透析患者中效果显著。

[关键词] 延续护理模式；腹膜透析；护理质量；生活质量

[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2017）23-0140-03

[Abstract] Objective To explore the effect of improved continued nursing mode on the nursing quality for the non-local patients receiving persistent peritoneal dialysis. Methods A total of 120 non-local patients receiving persistent peritoneal dialysis who were enrolled in our hospital from June 5， 2014 to June 5， 2016 were selected， and randomly divided into two groups， with 60 patients in each group. The observation group and the control group were given improved continued nursing mode and routine nursing respectively. The quality of life， the total incidence rate of complications， and the treatment failure rate were compared between the two groups. Results The psychological function score was （98.36±0.21）， the physical function score was （97.63±1.28）， the material life score was （97.55±1.42）， the social function score was（96.35±2.15）， the total incidence rate of complications was 3.33%， and the total treatment failure rate was 1.67% in the observation group， which were all better than those in the control group（P<0.05）. Conclusion Improved continued nursing mode in the patients receiving persistent peritoneal dialysis has a significant effect.

[Key words] Continued nursing mode； Peritoneal dialysis； Quality of nursing； Quality of life

持续性腹膜透析具有费用低、疗效佳等特点，能够保护患者残余肾功能，常用于治疗终末期肾病患者，随着临床的广泛应用，现已成为终末期肾病患者主要治疗方法之一，但部分地区由于置管后护理不当，导致疗效不佳。随着对持续性腹膜透析治疗效果研究的深入，通过资料收集、健康教育、随访、建立档案、留置导管等一系列的管理模式，能够提高患者生存质量，提高整体疗效[1]。本文旨在探讨改进延续护理模式对外地持续性腹膜透析患者的临床意义，现报道如下。

1 资料与方法

1.1 临床资料

选取2014年6月5日～2016年6月5日期間我院收治的120例外地持续性腹膜透析患者，随机分为两组，分别为观察组（60例，改进延续护理模式）和对照组（60例，常规护理干预）。入选标准：（1）患者家庭住址附近均未建立专门的腹膜透析中心；（2）患者均能够配合完成各项护理工作；……