目的：探究腹膜透析患者容量管理中关键指标的选定与监测效果。方法：回顾性分析我院肾内科腹膜透析患者身亡及退析缘故，找到关键危险因素，构建我科容量控制关键监测指标管理体系，将监督、管理、反馈、干预机制贯穿于关键监测指标实施的全过程，并运用客观数据分时段对我科室各阶段的透析质量开展评定。结果：对100例腹膜透析患者执行关键监测指标管理12个月后，血压监测达标率由78.00%提升到92.00%，医院门诊随诊率由86.00%提升到93.00%，临床检测指标完成率由73.00%提升到85.00%。差异有统计学意义(P < 0.05)；关键监测指标管理系统执行后，患者的心胸比、BMI及相关临床医学指标获得平稳控制，差异具有统计学意义(P < 0.05)。结论：采用关键监测指标管理方案对腹膜透析患者的应用成效非常显著，不但能控制患者临床医学指标的平稳性，并且提高了患者对腹膜透析的依从性，降低了停析并发症的发生率，提高了患者的健康信念，有效提升腹膜透析患者的生存质量，在临床应用中意义重大。
Objective: To explore the selection
and monitoring effect of key indicators in peritoneal dialysis patient capacity
management. Methods: The causes of death and dialysis of peritoneal dialysis
patients in Department of Nephrology in our hospital were analyzed
retrospectively, and the key risk factors were found. The management system of
key monitoring indicators of capacity control in our department was
constructed, and the supervision, management, feedback and intervention
mechanism were implemented throughout the whole process of key monitoring
indicators. The dialysis quality of our department was evaluated by objective
data in different periods. Results: After 12
months of management of key monitoring indexes in 100 patients with peritoneal dialysis,
the blood pressure monitoring compliance rate increased from 78.00% to 92.00%,
the outpatient follow-up rate increased from 86.00% to 93.00%, and the
completion rate of clinical testing indexes increased from 73.00% to 85.00%.
The difference was statistically significant (P < 0.05). After the implementation of the management system of key monitoring indicators, the patients’ cardiothoracic ratio, BMI and related clinical indicators were controlled stably, with statistically significant differences (P < 0.05). Conclusion: The application of key monitoring index management program for patients with peritoneal dialysis is very significant, which can not only control the stability of patients’ clinical medical indicators, but also improve patients’ compliance to peritoneal dialysis, reduce the incidence of complications of discontinuation, and improve patients’ health belief, effectively improve the quality of life of patients with peritoneal dialysis. It is of great significance in clinical application.
