5E康复护理模式在改善腹膜透析患者水盐摄入依从性中的应用

发布时间：2019-01-06 18:41

【摘要】：目的探讨5E康复模式应用于改善尿毒症腹膜透析患者液体摄入依从性中的临床效果。方法将168例腹膜透析患者,按照随机数字表法分为两组,对照组(n=84)采用常规健康教育;观察组(n=84)实施5E康复干预,主要内容包括鼓励、教育、锻炼、工作及评估。对干预前后两组患者的每天饮水量、每天饮食含水量、每天摄盐量、水肿程度、体重、血压、尿量和超滤量进行评估和比较。结果干预前后,观察组患者饮水量、饮食含水量、饮食含盐量均减少,差异有统计学意义(P0.05)。干预前后,两组患者水肿分级情况有差别,观察组水肿程度明显改善,对照组变化不大,差异有统计学意义(P=0.004)。干预前后,两组患者体重增加,收缩压减少,差异有统计学意义(P=0.000)。观察组干预后舒张压较干预前降低,差异有统计学意义(P=0.022),而对照组干预前后舒张压差异无统计学意义(P=0.056)。干预后两组患者尿量减少,组内差异均有统计学意义(P0.05);干预后两组患者超滤量变化差异均无统计学意义(P0.05)。结论应用5E康复护理模式可显著改善腹膜透析患者水盐摄入依从性不足的问题,减轻患者容量负荷,值得临床进一步推广使用。
[Abstract]:Objective to investigate the clinical effect of 5e rehabilitation model in improving fluid intake compliance of uremic peritoneal dialysis patients. Methods 168 patients with peritoneal dialysis were divided into two groups according to random number table, the control group (n = 84) was treated with routine health education, the observation group (n = 84) was treated with 5e rehabilitation intervention, the main contents included encouragement, education, exercise, work and evaluation. The daily drinking water, daily dietary water content, daily salt intake, edema degree, body weight, blood pressure, urine volume and ultrafiltration were evaluated and compared between the two groups before and after intervention. Results before and after intervention, the quantity of drinking water and salt content of diet decreased in the observation group, the difference was statistically significant (P0.05). Before and after intervention, there was a difference in the grade of edema between the two groups. The degree of edema in the observation group was obviously improved, while the change in the control group was not significant (P0. 004). Before and after intervention, the two groups gained weight and decreased systolic blood pressure, the difference was statistically significant (P0. 000). The diastolic blood pressure in the observation group was significantly lower than that before the intervention (P0.022), but there was no significant difference in the DBP before and after intervention in the control group (P0. 056). After intervention, the urine volume of the two groups decreased, the difference was statistically significant (P0.05); after intervention, there was no significant difference in ultrafiltration volume between the two groups (P0.05). Conclusion the application of 5e rehabilitation nursing model can significantly improve the problem of insufficient water and salt intake compliance in peritoneal dialysis patients, reduce the volume load of patients, and is worthy of further clinical application.
【作者单位】：广西医科大学第一附属医院肾内科;广西医科大学第一附属医院心内科;
【分类号】：R473.5

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