临床护理路径应用于慢性肾衰竭患者腹膜透析治疗的体会

摘要

目的 探讨临床护理路径(CNP)应用于慢性肾衰竭患者腹膜透析治疗的护理体会.方法 行腹膜透析治疗的98例慢性肾衰竭患者作为研究对象,随机分为观察组和对照组,对照组给予常规护理,观察组给予CNP护理.结果 健康知识掌握情况中,两组的慢性肾衰竭和腹膜透析相关知识掌握情况比较差异无统计学意义(P＞0.05),观察组饮食,运动和心理调整等的掌握情况均显著优于对照组(P＜0.01),透析操作掌握时间显著短于对照组(P＜0.01),护理满意度显著高于对照组(P＜0.01).结论 基于对患者进行个体性评估分析展开的CPN护理,对于促进患者身心方面的整体调整具有积极意义,体现了以患者为中心的护理服务理念,值得临床考虑.%Objective To explore the nursing experiences on clinical nursing pathway (CNP) used for patients with chronic renal failure (CRF) undergoing therapy of peritoneal dialysis.Methods 98 cases of patients with CRF undergoing therapy of peritoneal dialysis were divided into control group and experimental group,control group was given routine nursing and experimental group was given CNP care.Results The acquisition of knowledge about CRF and peritoneal dialysis in two groups had no significant difference (t=1.818,P＞0.05; t=1.464,P＞0.05),diet,sports and psychological recovery in experimental group were significantly better than those in control group (t=8.330,P＜0.01 ; t=8.405,P＜0.01 ; t=8.533,P＜0.01).The mastering time of the dialysis operation in experimental group was significantly shorter than that in control group,satisfaction degree of nursing in experimental group was also significantly better than that in control group (x2=5.466,P＜0.01; x 2=5.237,P＜0.01).Conclusion The CNP nursing based on individual evaluation is meaningful for prompting integral adjustment of patients' mind and body,and shows the nursing principle of patientoriented,so it deserves consideration in clinic.