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基于5E模式的个案管理对腹膜透析患者水盐控制的影响

侯璐蒙 黄燕林 滕艳娟 邹宝林 罗怡欣

重庆医学2018,Vol.47Issue(7):906-909,4.
重庆医学2018,Vol.47Issue(7):906-909,4.DOI:10.3969/j.issn.1671-8348.2018.07.012

基于5E模式的个案管理对腹膜透析患者水盐控制的影响

Effect of case management based on 5E mode on water-salt control in patients with peritoneal dialysis

侯璐蒙 1黄燕林 1滕艳娟 2邹宝林 3罗怡欣1

作者信息

  • 1. 广西医科大学第一附属医院肾内科,南宁530021
  • 2. 广西医科大学第一附属医院肝胆外科,南宁530021
  • 3. 广西医科大学第一附属医院老年心血管科,南宁530021
  • 折叠

摘要

Abstract

Objective To assess the influence of case management based on 5E mode on water-salt control in the patients with peritoneal dialysis.Methods One hundred eligible cases of peritoneal dialysis were randomly divided into two groups,50 cases in each group.The control group received regular nursing care,while on this basis the experimental group applied the case management based on 5E mode for conducting the nursing intervention.The various indicators were evaluated at 3 time points (the first stage of the baseline data ceollection),second stage (4-month intervention) and third stage (3-month follow up).Results There was no statistically significant difference in the first stage between the two groups;in the second and third stage the body weight,systolic blood pressure,diastolic blood pressure,water and salt intake amount in the experimental group were lower than those in the control group,compliance was superior to thas of the control group(P<0.05);the descent speed of urine volume and PD ultrafiltration amount in the experimental group was slowed down compared with the control group(P<0.05);the patient's daily sleeping time was improved(P<0.05).Conclusion The case management based on 5E mode used in the water-sak control of the patients with peritoneal dialysis is effective and feasible.

关键词

腹膜透析/膳食,限钠/个案管理/水盐控制/5E康复模式

Key words

peritoneal dialysis/diet,sodium-restricted/case management/water-salt control/5E rehabilitation mode

分类

医药卫生

引用本文复制引用

侯璐蒙,黄燕林,滕艳娟,邹宝林,罗怡欣..基于5E模式的个案管理对腹膜透析患者水盐控制的影响[J].重庆医学,2018,47(7):906-909,4.

基金项目

广西壮族自治区科技厅自然科学基金课题(桂科字0832116) (桂科字0832116)

广西壮族自治区卫生厅自筹经费科研课题(Z2014081). (Z2014081)

重庆医学

OACSTPCD

1671-8348

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