【摘要】 目的探讨个案管理对持续不卧床腹膜透析住院患者满意度及生化指标的影响。方法将77例住院首次行持续不卧床腹膜透析患者随机分为对照组40例、观察组37例。对照组实施常规护理,观察组实施个案管理模式护理;于入组后第2天及出院前1d用患者满意度量表调查患者的满意度,统计两组红细胞、血红蛋白、血清白蛋白、血清钾、钙、磷及血肌酐、甲状旁腺激素8项指标变化情况。结果观察组患者满意度显著高于对照组(均P<0.01)。血肌酐两组均显著好转,血清钾观察组显著好转(均P<0.05);其他项相对好转,差异无统计学意义(均P>0.05)。结论实施个案管理近期可提高持续不卧床腹膜透析住院患者的满意度,从而有利于治疗效果的提高;远期效果有待进一步观察。更多还原

【Abstract】 Objective To evaluate the effect of a case management program on satisfaction and biochemical indicators in continuous ambulatory peritoneal dialysis(CAPD)patients.Methods Seventy-seven new CAPD patients were randomized into one of two groups receiving either conventional nursing care(control group,40cases)or case management care(observation group,37cases). Patient satisfaction and laboratory parameters as red blood cells,hemoglobin,albumin,potassium,calcium,phosphate,creatinine,and parathyroid hormone were measured on the second day of enrollment and one day before discharge.Results Patient satisfaction in the observation group was significantly higher than that in the control group(P<0.01for all).Significant improvements were found in both groups for the values of creatinine and in the observation group for the value of potassium(P<0.05for all). The other parameters were also improved,but with no significant differences between the two groups(P>0.05for all).Conclusion Case management care model can promote satisfaction of CAPD patients,and thus improve therapeutic effect.The long-term effect should be confirmed after further observation.更多还原