維持性腹膜透析患者延續性護理需求及影響因素的調查研究

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維持性腹膜透析患者延續性護理需求及影響因素的調查研究(論文5400字)
【摘要】 目的 探討維持性腹膜透析患者對延續性護理需求狀況及影響因素,為制訂延續性護理措施提供有效的科學依據。方法 采用自行設計并經過信效度檢驗的“維持性腹膜透析患者延續性護理需求調查問卷”對190例進行規律腹膜透析的患者進行調查。結果  190例患者均對延續性護理內容表達出高程度需求,所有內容得分均分4.0分以上,最為迫切需要的護理內容為:并發癥的預防及處理(4.57±11.67)分、家庭支持(4.56±13.92 )分、合并其它疾病知識的指導(4.54±9.93)分。延續性護理實施方式得分排名前三位依次是:電話短信隨訪(4.53±13.19)分、互聯網平臺(4.41±13.25)分、門診隨訪(4.32±13.47)分。透析時間、民族是影響延續護理需求的因素。結論 維持性腹膜透析患者對延續性護理需求高,護理內容表現形式為多樣化、多層次,實施方式也與眾不同,護理人員應根據患者的不同需求給予個性化、形式豐富的延續性護理,從而提高維持性腹膜透析患者的生活質量。
關鍵詞:腹膜透析;延續性護理;需求
Research on the Continuous Nursing Needs and Influencing Factors of Patients with Continuous Ambulatory Peritoneal Dialysis
Li xue qin,Wang fang, Luo yan,Zhang hua
Department of Nephrology,West China Hospital of Sichuan
Univercity ,Chengdu610041,China
[Abstract] Objective To explore the status and influencing factors of continuity care in patients with maintenance peritoneal dialysis,and to provide an effective scientific basis for developing continuous nursing measures.Methods a total of 190 consecutive patients undergoing regular peritoneal dialysis were investigated by self-designed questionnaire and reliability and validity test.Results 190
Patients of continuing nursing care content expressed high levels of demand,all scores were 4 poitonts or more ,the most urgent need for nursing content:prevention and treatment of complications(4.57±11.67)score and family support (4.56±3.92)score,with other disease knowledge guidance(4.54±9.93)score.The top three rangking points of continuity nursing implemengation were telephone message follow up (4.53±13.19)score,Internet platform(4.41±13.25)score and out patient follow-up(4.32±13.47)score.Dialysis time and nationality are the factors that affect the needs of continuous nursing.Conclusion peritoneal dialysis patients continuing nursing care needs high nursing content form diversified,multi-level,the implementation is out of the ordinary,nursing staff should be individualized according to the different needs of patients ,enrich the forms of continuity of care ,so as to improve peritoneal dialysis patients quality of life.
[Key Words] peritoneal dialysis ;transitional care;demand

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