文章摘要

循证护理对腹膜透析患者心血管事件发生及生存质量的影响

作者: 1李飞, 1陈文
1 海南医学院第二附属医院肾内科,海口 57031
通讯: 陈文 Email: 13907685889@163.com
DOI: 10.3978/j.issn.2095-6959.2020.11.029

摘要

目的:探讨循证护理对腹膜透析患者心血管事件发生以及生存质量的影响。方法:回顾性分析海南医学院第二附属医院肾内科135例患者的病例资料:应用循证护理前(2016年2月至2017年1月,应用前组,n=65),应用循证护理后(2017年2月至2018年1月,应用后组,n=70)。应用前组采用常规护理干预,应用后组采用循证护理干预,比较两组腹膜透析效果、心血管事件的发生情况、焦虑自评量表(Self-rating Anxiety Scale,SAS)与抑郁自评量表(Self-rating Depression Scale,SDS)以及生活质量评分。结果:应用后组干预后尿素清除指数(urea clearance index,KT/V)、血清白蛋白、血红蛋白均高于应用前组,组间差异均具有统计学意义(均P<0.05);应用后组心血管事件发生率为11.43%(8/70)低于应用前组的26.15%(17/65),组间差异具有统计学意义(χ2=4.843,P=0.028);应用后组心血管事件病死率为2.86%(2/70)低于应用前组的15.38%(10/65),组间差异具有统计学意义(χ2=6.531,P=0.011);应用后组干预后SAS和SDS评分均低于应用前组,组间差异均具有统计学意义(均P<0.05);应用后组干预后生存质量各项评分均高于应用前组,组间差异均具有统计学意义(均P<0.05)。结论:循证护理对腹膜透析患者干预效果良好,可有效减少心血管事件的发生,提高患者生存质量。
关键词: 循证护理;腹膜透析;心血管事件;负性情绪;生活质量

Effects of evidence-based nursing on occurrence of cardiovascular events and quality of life in patients undergoing peritoneal dialysis

Authors: 1LI Fei, 1CHEN Wen
1 Department of Nephrology, Second Affiliated Hospital of Hainan Medical University, Haikou 570311, China

CorrespondingAuthor: CHEN Wen Email: 13907685889@163.com

DOI: 10.3978/j.issn.2095-6959.2020.11.029

Abstract

Objective: To investigate the effects of evidence-based nursing on occurrence of cardiovascular events and quality of life in patients undergoing peritoneal dialysis. Methods: The retrospective analysis was performed on 135 case data in nephrology department of the Second Affiliated Hospital of Hainan Medical University: 65 patients who were not given evidence-based nursing from February 2016 to January 2017 (pre-application group) and 70 patients who were given evidence-based nursing from February 2017 to January 2018 (post-application group). The pre-application group was given routine nursing intervention, while post-application group was given evidence-based nursing intervention. The peritoneal dialysis effect, occurrence of cardiovascular events, scores of Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and quality of life were compared between the two groups. Results: After intervention, urea clearance index (KT/V), serum albumin and hemoglobin in post-application group were higher than those in pre-application group (all P<0.05). The incidence of cardiovascular events in post-application group was lower than that in pre-application group [11.43% (8/70) vs 26.15% (17/65)] (χ2=4.843, P=0.028). The mortality rate of cardiovascular events in post-application group was lower than that in pre-application group [2.86% (2/70) vs 15.38% (10/65)] (χ2=6.531, P=0.011). After intervention, scores of SAS and SDS in post-application group were lower than those in pre-application group (all P<0.05). After intervention, scores of quality of life in post-operative group were higher than those in pre-application group (all P<0.05). Conclusion: The effect of evidence-based nursing intervention is good on patients undergoing peritoneal dialysis, which can effectively reduce occurrence of cardiovascular events, and improve their quality of life.
Keywords: evidence-based nursing; peritoneal dialysis; cardiovascular event; negative emotion; quality of life

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