维持性腹膜透析患者护理修改版(5)

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1、维持性腹膜透析患者延续性护理需求及影响因素的调查研究李雪芹，王芳，罗燕，张华（四川大学华西医院肾内科四川成都610041）【摘要】 目的 探讨维持性腹膜透析患者对延续性护理需求状况及影响因素，为制订延续性护理措施提供有效的科学依据。方法 采用自行设计并经过信效度检验的“维持性腹膜透析患者延续性护理需求调查问卷”对190例进行规律腹膜透析的患者进行调查。结果 190例患者均对延续性护理内容表达出高程度需求，所有内容得分均分4.0分以上，最为迫切需要的护理内容为：并发症的预防及处理（4.57±11.67）分、家

2、庭支持（4.56±13.92）分、合并其它疾病知识的指导（4.54±9.93）分。延续性护理实施方式得分排名前三位依次是：电话短信随访（4.53±13.19）分、互联网平台（4.41±13.25）分、门诊随访（4.32±13.47）分。透析时间、民族是影响延续护理需求的因素。结论 维持性腹膜透析患者对延续性护理需求高，护理内容表现形式为多样化、多层次，实施方式也与众不同，护理人员应根据患者的不同需求给予个性化、形式丰富的延续性护理，从而提高维持性腹膜透析患者的生活质量。关键词：腹膜透析；延续性护理；需求Re

3、searchontheContinuousNursingNeedsandInfluencingFactorsofPatientswithContinuousAmbulatoryPeritonealDialysisLixueqin,Wangfang,Luoyan，ZhanghuaDepartmentofNephrology,WestChinaHospitalofSichuanUnivercity,Chengdu610041,China[Abstract]ObjectiveToexplorethestatusa

4、ndinfluencingfactorsofcontinuitycareinpatientswithmaintenanceperitonealdialysis,andtoprovideaneffectivescientificbasisfordevelopingcontinuousnursingmeasures.Methodsatotalof190consecutivepatientsundergoingregularperitonealdialysiswereinvestigatedbyself-desi

5、gnedquestionnaireandreliabilityandvaliditytest.Results190Patientsofcontinuingnursingcarecontentexpressedhighlevelsofdemand,allscoreswere4poitontsormore,themosturgentneedfornursingcontent:preventionandtreatmentofcomplications(4.57±11.67)scoreandfamilysuppor

6、t(4.56±3.92)score,withotherdiseaseknowledgeguidance(4.54±9.93)score.Thetopthreerangkingpointsofcontinuitynursingimplemengationweretelephonemessagefollowup(4.53±13.19)score,Internetplatform(4.41±13.25)scoreandoutpatientfollow-up(4.32±13.47)score.Dialysistim

7、eandnationalityarethefactorsthataffecttheneedsofcontinuousnursing.Conclusionperitonealdialysispatientscontinuingnursingcareneedshighnursingcontentformdiversified,multi-level,theimplementationisoutoftheordinary,nursingstaffshouldbeindividualizedaccordingtot

8、hedifferentneedsofpatients,enrichtheformsofcontinuityofcare,soastoimproveperitonealdialysispatientsqualityoflife.[KeyWords]peritonealdialysis;transitionalcare;demand延续性护理是整体护理的一部分及住院护理的延伸，使病人在出院后能得到持续的健康卫生服务，