78例腹膜透析患者换液操作考核分析

Abstract

目的 分析78例腹膜透析患者换液操作考核情况,探讨换液操作考核成绩与透析龄的关系.方法 采用自设问卷对腹透患者或照顾者进行换液操作考核,并进行统计分析.结果 78例患者考核总平均分(79.15±14.87),合格率为42.3%,其中紫外线照射、桌面和地面的消毒、洗手及戴口罩等操作前准备步骤合格率低;透析龄≤12月与透析龄＞12个月患者进行比较,两组得分差异有统计学意义(t=3.975,P＜0.01);操作前准备、操作过程及考核总分与透析龄之间呈负相关(P＜0.01).结论 应加强透析患者,尤其是透析龄较长的患者再教育与培训,预防因操作引起相关并发症的发生,从而提高其生活质量.

Objective To evaluate dialysate exchange procedures of patients on peritoneal dialysis,and analyze the relationship between dialysate exchange skills and dialysis duration. Methods A self-designed evaluation form was used to check the patients' dialysate exchange procedure when they came to the clinic for transfer set change, and the data were analyzed using statistical mehods. Results The global score of assessment was 79. 15 ± 14.87,42.3% patients passed the test. Patients did not have good adherence to Ultraviolet radiation, environment cleaning, hand washing, and masks wearing. The global score for patients on PD more than one yearwas lower than the others (76.52 ± 15.34 vs 87.94 ±8.84, P<0.01 ). The score of preparation procedure, operation process, and global score had significantly negative correlation with dialysis duration(P <0.01). Conclusions PD patients may not adhere adequately to dialysate exchange procedures at home. And this problem may become more sever along with their dialysis duration. Periodically retraining is thus very needed for the long term PD patients.