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        west china medical publishers
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        find Author "阮毅" 2 results
        • 信息通信技術在腹膜透析患者居家護理中的應用

          目的探討信息通信技術(ICT)在持續性非臥床式腹膜透析(CAPD)患者居家護理中的應用。 方法對2012年1月入住的61例CAPD 術后出院患者用數字表法隨機分為2組,對照組30例采取常規家庭隨訪;研究組31例在常規家庭隨訪的基礎上,采取信息通信技術(在線實時通訊、網絡視頻、網絡患教平臺)進行護理指導。12個月后對患者在家中進行腹膜透析相關并發癥發情況進行比較。 結果研究組發生腹膜炎4例,出口處感染1例,引流不暢3例;對照組發生腹膜炎6例,出口處感染3例,漏液2例,引流不暢6例;研究組總的并發癥發生率低于對照組,差異有統計學意義(χ2=6.638,P=0.010)。 結論應用ICT可對CAPD患者家庭護理問題進行及時的發現和指導,從而降低了其相關并發癥,提高患者自我照護能力和生活質量。

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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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