The effect of discharge planning and home care on patients undergoing peritoneal dialysis
10.3760/cma.j.issn.1008-6706.2015.19.016
- VernacularTitle:腹膜透析患者出院前准备与居家护理的效果分析
- Author:
Ying YU
;
Yuan TIAN
;
Binbin PAN
;
Linke WU
;
Ying ZHOU
- Publication Type:Journal Article
- Keywords:
Peritoneal dialysis;
Family nursing
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(19):2931-2935
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of discharge planning and home care for patients with peritoneal dialysis (PD).Methods A total of 60 PD patients were randomly divided into the intervention group and control group,30 cases in each group.Discharge planning and home care were carried out in the intervention group, while routine nursing and telephone follow -up service after discharge were implemented in the control group.The patientsˊscores of Zung Self -Rating Anxiety Scale(SAS),Self -Rating Depression Scale(SDS),Self management ability of patients undergoing peritoneal dialysis,complication rate and readmission rate were compared between the two groups at the next day admission,discharge,lth month and 3th after discharge.Results The scores of SAS and SDS in the intervention group were significantly lower than that in the control group at 3th month after discharge,the difference was statistically significant(tSDS =5.263,tSAS =3.812,P <0.05).The Self management ability of patients undergoing peritoneal dialysis was significantly higher than that of the control group at lth and 3th month after discharge,the difference was statistically significant (t =6.845,t =7.231,P <0.05).No significant difference in the re -admission rate (16.67%,6.67%)was found between the two groups (χ2 =0.387,P >0.05).The complication rate in the intervention group was significantly lower than in the control group at 3th month after discharge(χ2 =5.124,P <0.05).Conclusion Discharge planning and home care can effectively relieve depression and anxiety in patients with peritoneal dialysis and improve the abilities of daily life.It is worth promoting and applying in clinic.
