改良腹膜透析液双联系统的制作与应用

doi:10.3761/j.issn.0254-1769.2021.05.026

摘要/Abstract

摘要：

目的制作改良腹膜透析液双联系统,并探讨其在腹膜透析患者中的应用效果。方法选择2018年1月—2019年12月在某三级甲等医院肾内科随访的156例腹膜透析患者为研究对象,用随机数字表法将患者分为试验组和对照组,分别使用改良腹膜透析液双联系统和传统腹膜透析液双联系统进行换液操作,比较两组的换液时间、腹膜炎发生率、平均每次透析成本、患者满意度。结果与对照组相比,试验组腹膜透析换液操作时间缩短、腹膜炎发生率降低,平均每次透析成本减少,患者满意度得分高,差异具有统计学意义（P<0.05）。结论相对传统腹膜透析液双联系统,改良腹膜透析液双联系统方便操作、缩短了换液操作时间、降低了腹膜炎发生率和透析成本,可提高患者满意度。

关键词: 腹膜透析, 双联系统, 腹膜透析换液, 护理

Abstract:

Objective To design an innovative twin bag system of peritoneal dialysis for patients with end-stage renal disease and to evaluate the effectiveness of its application.Methods A total of 156 patients with peritoneal dialysis in the department of nephrology from January 2018 to December 2019 were selected as research subjects. Patients were divided into an experimental group which used the innovative twin bag system of peritoneal dialysis and a control group which used the traditional twin bag system of peritoneal dialysis. Some indicators were observed and compared,including the time of peritoneal dialysis fluid exchange,the rate of peritonitis,average cost of per peritoneal dialysis and the satisfaction of patients.Results Compared with these in the control group,the experimental group had shorter time of peritoneal dialysis fluid exchange,lower rate of peritonitis and lower average peritoneal daily cost. The total satisfaction rate in the experimental group was significantly higher than that in the control group. The differences were statistically significant（P<0.05）.Conclusion The innovative twin bag system of peritoneal dialysis is more convenient,which can reduce the time of peritoneal dialysis fluid exchange and peritonitis cost effectively and improve patient’s satisfaction.

Key words: Peritoneal Dialysis, Twin Bag System, Peritoneal Dialysis Fluid Exchange, Nursing Care

王淑粉,王海播,张红梅,张俊梅,蒋秋焕. 改良腹膜透析液双联系统的制作与应用[J]. 中华护理杂志, 2021, 56(5): 791-794.

WANG Shufen,WANG Haibo,ZHANG Hongmei,ZHANG Junmei,JIANG Qiuhuan. Production and application of an innovative twin bag system of peritoneal dialysis[J]. Chinese Journal of Nursing, 2021, 56(5): 791-794.

图/表 4

图1 改良腹膜透析液双联系统注：1.透析液袋;2.容量刻度;3.易折阀门杆;4.入液管;5.腹膜透析液滴斗;6.腹膜透析液流量调节器;7.Y型管;8.拉环;9.废液滴斗;10.废液流量调节器;11.出液管;12.废液袋。

Figure 1 Improved twin bag system of peritoneal dialysis

图2 传统腹膜透析液双联系统注：1.透析液袋;2.易折阀门杆;3.入液管;4.Y型管;5.拉环6.出液管;7.废液袋。

Figure 2 Traditional twin bag system of peritoneal dialysis

表1 两组一般资料比较

Table 1 Comparison of general information between the two groups

表2 两组腹膜透析患者评价指标比较

Table 2 Comparison of collected indicators between two groups of peritoneal dialysis patients

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