国际医药卫生导报2019，Vol.25Issue(22)：3687-3690,4.DOI:10.3760/cma.j.issn.1007-1245.2019.22.008
4R理论视觉下基层医院腹膜透析患者腹膜炎管理模式的建立
The establishment of peritonitis management system for patients with peritoneal dialysis in primary hospitals of 4R theory
摘要
Abstract
Objective To explore the role of 4R crisis theory in the establishment of peritonitis management system for patients with peritoneal dialysis in primary hospitals.Methods A total of 186 cases of peritoneal dialysis patients who were followed up in our hospital from January 2018 to January 2019 were selected as study objects.The patients were divided into control group (87 cases) and intervention group (99 cases) by convenience sampling.The control group received the routine management method,and the intervention group received the 4R crisis theory for management on the basis of the routine management.The incidence of peritonitis and the operation assessment qualified rate were compared between the two groups.Results The incidence of peritonitis was 26.44％ in the control group,and the incidence of peritonitis was 12.12％ in the intervention group,the incidence of peritonitis in the intervention group was lower than that in the control group,with statistically significant difference (x2=6.212,P=0.013).60 patients in the control group qualified for operation,with a qualified rate of 68.97％;85 patients in the intervention group qualified for operation,with a qualified rate of 85.86％;the qualified rate of the intervention group was higher than that of the control group,with statistically significant difference (x2=7.69,P=0.008).Conclusion 4R crisis theory can effectively reduce the incidence of peritonitis in patients with peritoneal dialysis,and gradually form the management system for peritonitis in patients with peritoneal dialysis in primary hospitals.关键词
4R危机理论/维持性腹膜透析/腹膜透析相关性腹膜炎Key words
4R crisis theory/Maintenance peritoneal dialysis/Peritoneal dialysis associated peritonitis引用本文复制引用
汤嘉敏,骆谏英,江燕开,黄丽秋,林燕群,何元平,李红艳..4R理论视觉下基层医院腹膜透析患者腹膜炎管理模式的建立[J].国际医药卫生导报,2019,25(22):3687-3690,4.基金项目
广州市医学重点学科建设项目(2017-2019年) （2017-2019年）
花都区科技项目(18-HDWS-059)Guangzhou Medical Key Discipline Construction Project (2017-2019) （18-HDWS-059）
Huadu District Science and Technology Project (18-HDWS-059) （18-HDWS-059）
