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find Author "阮毅" 2 results
  • 信息通信技术在腹膜透析患者居家护理中的应用

    目的探讨信息通信技术(ICT)在持续性非卧床式腹膜透析(CAPD)患者居家护理中的应用。 方法对2012年1月入住的61例CAPD 术后出院患者用数字表法随机分为2组,对照组30例采取常规家庭随访;研究组31例在常规家庭随访的基础上,采取信息通信技术(在线实时通讯、网络视频、网络患教平台)进行护理指导。12个月后对患者在家中进行腹膜透析相关并发症发情况进行比较。 结果研究组发生腹膜炎4例,出口处感染1例,引流不畅3例;对照组发生腹膜炎6例,出口处感染3例,漏液2例,引流不畅6例;研究组总的并发症发生率低于对照组,差异有统计学意义(χ2=6.638,P=0.010)。 结论应用ICT可对CAPD患者家庭护理问题进行及时的发现和指导,从而降低了其相关并发症,提高患者自我照护能力和生活质量。

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  • Analysis of nutritional risk in inpatients with chronic kidney disease

    ObjectiveTo explore the nutritional status of inpatients with chronic kidney disease (CKD) and analyze the factors affecting nutritional risk, to provide theoretical basis for further nutritional support.MethodsConvenience sampling method was adopted to select 719 inpatients with CKD as research subjects in a tertiary hospital in Chengdu, Sichuan Province from January to March 2018. Nutritional Risk Screening 2002 was used for nutritional risk screening, and chi-square test, t test, one-way analysis of variance, and multiple linear regression analysis were used to explore the influencing factors of nutritional risk.ResultsAmong the 719 cases, whose average nutritional risk score was 1.79±1.11, 158 cases had nutritional risk, accounting for 22.0%. There were statistically significant differences in nutritional risk score between patients of age<60 years and ≥60 years, between males and females, between patients with CKD stage 1-3 and stage 4-5, between patients with serum albumin level <30 g/L and ≥30 g/L, and between patients with and without anaemia (P<0.05). The results of multiple linear regression analysis showed that the nutritional risk score of CKD patients was negatively correlated to serum albumin level (P=0.016), positively correlated to age (P<0.001), and higher in females than that in males (P=0.001).ConclusionsInpatients with CKD have a higher nutritional risk, with age, gender and serum albumin as the main influencing factors. Based on the above factors, the medical staff should continue to take targeted intervention measures to assess the nutritional status of CKD inpatients early and conveniently, so as to provide scientific basis for further nutritional support and nutritional nursing.

    Release date:2019-08-15 01:20 Export PDF Favorites Scan
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