摘要
目的 探讨护理结局分类系统在持续非卧床腹膜透析患者容量管理中的应用。方法 选取2022年7月-2024年6月我院持续非卧床腹膜透析(CAPD)患者140例,分为对照组与观察组各70例。对照组常规护理,观察组实施常规护理+护理结局分类系统干预。比较两组效果。结果 干预后观察组体液超负荷评分、自我管理能力评分高于对照组,收缩压、体质量增加值低于对照组,并发症发生率低于对照组(P<0.05)。结论 护理结局分类系统应用于非卧床腹膜透析患者容量管理中效果显著。
关键词: 护理结局分类系统;持续非卧床腹膜透析;容量管理;体液超负荷;自我管理能力
Abstract
Objective To explore the application of the Nursing Outcomes Classification System in volume management of patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Methods A total of 140 CAPD patients from July 2022 to June 2024 in our hospital were selected and divided into a control group and an observation group, with 70 cases in each group. The control group received routine care, while the observation group received routine care plus Nursing Outcomes Classification System intervention. The effects of the two groups were compared. Results After the intervention, the fluid overload score and self-management ability score of the observation group were higher than those of the control group, the systolic blood pressure and weight gain were lower than those of the control group, and the incidence of complications was lower than that of the control group (P < 0.05). Conclusion The application of the Nursing Outcomes Classification System in volume management of CAPD patients is significantly effective.
Key words: Nursing outcomes classification system; Continuous ambulatory peritoneal dialysis; Volume management; Fluid overload; Self-management ability
参考文献 References
[1] 吴苏杭,娄小平,陈婕,等.基于干预图的围透析期腹膜透析患者容量管理方案的构建[J].中华现代护理杂志,2025, 31(05):610-616.
[2] 席建宏.腹膜透析患者预后危险因素调查与护理方案的建立[J].山西医药杂志,2024,53(13):974-978.
[3] 张麟,恽莉莉.个体化容量管理对腹膜透析患者容量管理行为及容量平衡中的影响[J].中文科技期刊数据库(引文版)医药卫生,2023,18(05):48-52.
[4] 姚凤娇,王飞,李晶.健康契约式护理对腹膜透析患者容量负荷及生活质量的影响[J].当代护士(中旬刊), 2024, 31(08):47-50.
[5] 殷莹.精准分层管理在腹膜透析患者容量负荷控制中应用[J].国际护理学研究,2026,35(14):35-62.
[6] 邰慧君,向萌,周曼,等.腹膜透析病人居家容量管理自评能力量表的编制及信效度检验[J].全科护理,2025,23(21): 4041-4044.
[7] 孙明慧,徐婉青,李红仙,等.层级对应式护理模式在腹膜透析患者中的应用研究[J].首都食品与医药,2025,32(13): 125-127.
[8] 吴楠,吴超然,陈玉华,et al.持续非卧床腹膜透析患者容量超负荷状态影响因素及与微炎症指标和营养状态的关系分析[J].临床误诊误治,2026,39(01):71-73.