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护理研究

自制肾性贫血家庭管理手册在腹膜透析患者贫血管理中的应用

  • 杜俊 ,
  • 汪海燕 ,
  • 王铁云 ,
  • 赵丽芳 ,
  • 赖学莉 ,
  • 李娟 ,
  • 郭志勇
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  • 1海军军医大学附属长海医院肾内科

收稿日期: 2019-07-24

  修回日期: 2020-01-08

  网络出版日期: 2020-03-12

基金资助

国家自然科学基金青年项目(81500583);居家腹膜透析患者对促红素注射依从性现状的调查及干预方案的构建(2018HLCY08)

The application of self-made home management manual for renal anemia in peritoneal dialysis patients

  • DU Jun ,
  • WANG Hai-Yan ,
  • WANG Tie-Yun ,
  • ZHAO Li-Fang ,
  • LAI Xue-Li ,
  • LI Juan ,
  • GUO Zhi-Yong
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  • 1 Department of Nephrology, Changhai Hospital Affiliated to Navy Medical University, Shanghai 200433, China

Received date: 2019-07-24

  Revised date: 2020-01-08

  Online published: 2020-03-12

摘要

【摘要】目的探讨制作及使用肾性贫血家庭管理手册,以提高腹膜透析患者的红细胞生成素(erythropoietin,EPO)注射达标率。方法选取2017 年1 月~12 月长海医院肾内科腹膜透析中心100 例长期门诊规律随访的腹膜透析患者作为观察对象,根据门诊随访的贫血治疗达标率,了解EPO 的用药情况,制作具有专科特色的肾性贫血家庭管理手册。结果100 例腹膜透析患者在使用该手册9 个月后EPO 注射达标率、贫血治疗达标率均较干预前明显提高(t/χ2值分别为35.861,19.837;P 值分别为<0.001,<0.001),且干预6 个月或9 个月后EPO 注射达标率及贫血治疗达标率均显著高于干预3 个月后,差异有统计学意义(χ2值分别为4.204,17.195;P 值分别为0.040,<0.001;χ2值分别为4.568,6.258;P 值分别为0.033,0.012)。结论肾性贫血家庭管理手册给予患者和家属EPO 用药提醒和指导,医护人员利用手册对患者进行有效的监督和用药调整,在腹膜透析患者贫血管理中起到了有效的作用,值得广泛推广。

本文引用格式

杜俊 , 汪海燕 , 王铁云 , 赵丽芳 , 赖学莉 , 李娟 , 郭志勇 . 自制肾性贫血家庭管理手册在腹膜透析患者贫血管理中的应用[J]. 中国血液净化, 2020 , 19(03) : 205 -208 . DOI: 10.3969/j.issn.1671-4091.2020.02.016

Abstract

【Abstract】Objective To design a home management manual for renal anemia in order to promote the compliant use of erythropoietin (EPO) and the rate of targeted hemoglobin level in peritoneal dialysis (PD) patients. Methods A total of 100 PD patients regularly followed up in our PD center from January 2017 to December 2017 were enrolled in this study. A professional home management manual for renal anemia was designed according to the rate of targeted hemoglobin level and the status of EPO use. Results The rates of compliant use of EPO (83% vs. 17%) and targeted hemoglobin level (84% vs. 16%) in the 100 PD patients were significantly increased after application of the home management manual for renal anemia for 9 months, as compared with those before the intervention. The rates of compliant use of EPO and targetd hemoglobin level were significantly higher after the intervention for 6 and 9 months than those after the intervention for 3 months (after 6 months: χ2=4.204 and 17.195 respectively, P=0.040 and <0.001 respectively; after 9 months: χ2=4.568 and 6.258 respectively, P=0.033 and 0.012 respectively). Conclusion The home management manual for renal anemia can teach and remined PD patients and their family members to use EPO, and can help medical professionals adjust and follow up the use of EPO in PD patients. This manual is effective in the management of anemia in PD patients and deserves to be widely used clinically.
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