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目的观察家庭护理指导对持续性非卧床腹膜透析(CAPD)患者治疗依从性、自我管理能力的影响。方法选择2013年1月-2014年12月治疗的CKD 5期尿毒症,经住院治疗后出院的持续性腹膜透析患者60例,根据手术序号单双号分为对照组和家访组各30例,对照组出院后进行常规复诊,家访组除常规出院指导和定期门诊随访外,由专职腹膜透析护士以定期家访及电话随访的形式进行家庭护理指导。比较2组12个月后相关知识掌握情况、依从性及自我管理能力。结果家访组12个月后相关知识掌握情况、依从性及自我管理能力明显优于对照组,差异有统计学意义(P<0.05)。结论家庭护理指导对CAPD患者出院后透析疗效的维持及病情的恢复有较好的促进作用,能提高患者的治疗依从性,加强自我管理能力,提高患者的生活质量。
Objective To observe the effect of home-nursing guidance on compliance and self-management ability in patients with continuous ambulatory peritoneal dialysis (CAPD). Methods Sixty patients with CKD stage 5 uremia treated from January 2013 to December 2014 were enrolled in the study. Sixty consecutive patients underwent peritoneal dialysis after hospitalization were divided into two groups: control group and home visit group, The control group was routinely referred after discharge, except for regular discharge guidance and regular outpatient follow-up visits, the home-visit guidance was provided by the specialized peritoneal dialysis nurses in the form of regular home visits and telephone follow-up. Compare the two groups of 12 months after the relevant knowledge, compliance and self-management capabilities. Results After 12 months of home visit, the related knowledge, ability of compliance and self-management were significantly better than those of the control group (P <0.05). Conclusion The guidance of home nursing can promote the maintenance of dialysis and recovery of patients after discharged from CAPD patients. It can improve the treatment compliance of patients, strengthen self-management ability and improve the quality of life of patients.