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目的分析循证护理干预对腹膜透析效果及患者生存质量的影响。方法收集并整理2013年1月-2014年12月收治的64例腹膜透析患者的临床资料,采用随机对照方法分为对照组和试验组,每组各32例。对照组患者入院后行常规护理,试验组患者行循证护理。护理干预前后,分别测定两组患者的尿素清除指数(KT/V)、血清白蛋白和血红蛋白的水平;采用生活质量综合评定量表(GQOLI-74)评价患者的生存质量。结果护理后,试验组患者的平均KT/V、血清白蛋白、血红蛋白水平均高于对照组(P<0.05);且试验组患者GQOLI-74量表中物质生活维度、躯体功能维度、心理功能维度、社会功能维度及总体评价的平均评分均高于对照组(P<0.05)。结论循证护理干预能有效提高腹膜透析效果及腹膜透析患者的生存质量,值得临床推广。
Objective To analyze the effect of evidence-based nursing intervention on peritoneal dialysis and the quality of life of patients. Methods The clinical data of 64 cases of peritoneal dialysis patients who were admitted from January 2013 to December 2014 were collected and classified into control group and experimental group with 32 cases in each group. Patients in the control group underwent routine nursing after admission, and patients in the test group underwent evidence-based nursing. Before and after nursing intervention, the urine urea nitrogen (KT / V), serum albumin and hemoglobin levels were measured in both groups. The quality of life of patients was evaluated by the comprehensive quality of life assessment scale (GQOLI-74). Results After treatment, the mean KT / V, serum albumin and hemoglobin of the test group were significantly higher than those of the control group (P <0.05); and the physical life dimension, physical function dimension, psychological function The average scores of dimensions, social function dimensions and overall evaluation were higher than those of the control group (P <0.05). Conclusion Evidence-based nursing intervention can effectively improve peritoneal dialysis and peritoneal dialysis patients with quality of life, worthy of clinical promotion.