慢性肾功能衰竭患者居家腹膜透析防范腹膜炎的护理探讨

摘要

Objective To discuss the nursing effect of home peritoneal dialysis in preventing the peritonitis of patients with chronic renal failure. Methods 62 cases of patients treated in our hospital and a third class hospital from July 2013 to July 2015 were selected as the research object and randomly divided into the control group and the observation group with 31 cases in each, the control group were given home peritoneal dialysis treatment and the observation group were given com-prehensive nursing on the basis of the home peritoneal dialysis treatment, including the nursing before , in and after treat-ment and regular follow-up care, the incidence of non-infectious complications, peritonitis and catheter exit and tunnel in-fection of the two groups were compared, and the treatment effects of the patients were synthetically evaluated. Results In the observation group, the incidence of non-infectious complications was 6.45%, the incidence of peritonitis was 3.23%, the incidence of catheter exit was 0 and the incidence of tunnel infection was 0, and in the control group , they were respec-tively 29.03%, 9.67%, 6.45% and 6.45%, the data between the two groups was significantly different (P<0.05), the total clinical efficiency of the observation group was 93.55% and 80.64% of the control group, which was significantly different (P<0.05). Conclusion Nursing effect of home peritoneal dialysis in patients with chronic renal failure is definite and can synergistically improve the treatment effect and security, at the same time, it can obviously improve prognosis of the patients and reduce the risk of peritonitis, therefore, it is worth promoting.%目的：探讨慢性肾功能衰竭患者居家腹膜透析防范腹膜炎的护理效果。方法整群选取该院及某三级医院于2013年7月—2015年7月期间，治疗的62例慢性肾功能衰竭患者作为研究对象，随机分为对照组和观察组，各31例；对照组采取居家腹膜透析治疗，而观察组在居家腹膜透析治疗的基础上，采取综合性护理，包括治疗前、治疗中、治疗后护理、定期随访护理；对比两组患者的非感染性并发症发生率、腹膜炎发生率、导管出口处及隧道感染发生率，综合评价患者的治疗效果。结果观察组患者的非感染性并发症发生率为6.45%、腹膜炎发生率为3.23%、导管出口处感染发生率为0、隧道感染发生率为0，对照组患者的非感染性并发症发生率为29.03%、腹膜炎发生率为9.67%、导管出口处感染发生率为6.45%、隧道感染发生率为6.45%；两组数据差异有统计学意义(P＜0.05)；观察组患者的临床总有效率为93.55%，对照组患者的临床总有效率为80.64%；两组数据差异有统计学意义(P＜0.05)。结论慢性肾功能衰竭患者居家腹膜透析的护理效果确切，可协同提高患者的治疗效果及安全性，显著改善患者的预后、降低腹膜炎发生的风险，值得推广使用。