腹膜透析患者围手术期的跟踪式培训

发布时间：2018-05-10 22:03

本文选题：腹膜透析 + 围手术期护理　；参考：《护士进修杂志》2016年23期

【摘要】：目的探讨腹膜透析患者围手术期健康教育的模式及科学的管理方法。方法严格规范腹膜透析(PD)专职护士入选标准,合理利用PD专职护士人力资源,改良患者围手术期健康宣教培训计划。结果 4年来,我中心患者腹膜炎的发生率由18.75%降低为4.12%,心功能衰竭的发生率由4.17%降低为3.1%;住院期间患者满意度由89.7%增长至98.5%,住院日由平均9d减为平均6d,住院费用由平均1.5万减至平均1.1万;按时门诊随访率由86.17%增长至92.56%,遵医嘱用药由82.47%增长至87.18%。结论腹膜透析患者围手术期跟踪式培训能有效改善患者依从性,值得临床推广。
[Abstract]:Objective to explore the mode and scientific management of perioperative health education in peritoneal dialysis patients. Methods the admission standard of PD full-time nurses was strictly standardized, the human resources of PD full-time nurses were reasonably utilized, and the health education training plan for patients during perioperative period was improved. As a result, for four years, The incidence of peritonitis and heart failure were decreased from 18.75% to 4.12%, from 4.17% to 3.1%, from 89.7% to 98.5%, from 9 days to 6 days, and from 15000 days to 11000 days, respectively. The rate of regular outpatient follow-up increased from 86.17% to 92.56%, and according to the doctor's instructions the rate of follow-up increased from 82.47% to 87.18%. Conclusion Perioperative follow-up training for peritoneal dialysis patients can effectively improve compliance and is worth popularizing.
【作者单位】：南京军区南京总医院国家肾脏疾病临床医学研究中心全军肾脏病研究所;
【分类号】：R47-4

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