| ObjectiveTo develop a provincial-county collaborative nursing intervention plan for peritoneal dialysis suitable for rural areas,to further explore the implementation and application effect of this intervention plan,and to evaluate the adequacy of peritoneal dialysis,so as to improve the quality of life of patients.Method(1)Part one: Through literature review and expert interviews and offline follow-up of PD patients in rural areas,a preliminary draft of provinsial-county collaborative nursing intervention plan for PD was constructed.After discussion at expert advisory group meetings and preliminary tests,the preliminary draft was revised and improved to form the final draft of the intervention plan.(2)Part two: This topic selected a total of 110 cases of peritoneal dialysis patients in rural areas as the research object,the patients were divided into the intervention group and the control group.The intervention group was interfered with the peritoneal dialysis province-county collaborative nursing intervention program,while the control group was interfered with the conventional nursing program.Collect the general data of two groups of patients respectively,evaluate the adequacy of peritoneal dialysis in one months after the intervention(T1),three months after the intervention(T2)and six months after the intervention(T3),score the quality of life of peritoneal dialysis patients,and the economic cost before and after intervention,and judge the intervention effect of peritoneal dialysis nursing alliance.In this study,IBM SPSS 20.0 software was used to input,collate and statistically analyze the data,and finally the results and conclusions were obtained.Results(1)Evaluation of peritoneal dialysis adequacy:(1)Evaluation of clinical status.There is no difference in clinical status scores between the two groups at T1.At T2 and T3,the difference was statistically significant(P<0.01).(2)Assessment of nutritional status.Comparison of hemoglobin and serum albumin between the two groups: at T1,there was no significant difference.There was significant difference between T2 and T3(P<0.01).(3)Assessment of solute clearance.Urea clearance index(kt/v): at t1,T2 and T3,the difference was statistically significant(P<0.01).Creatinine clearance rate(Ccr): At t1,there was no significant difference between them(P>0.05).At T2 and T3,the difference was statistically significant(P<0.01).(4)Laboratory indicators(comparison of calcium and phosphorus metabolism).Comparison of blood Calcium(Ca),blood phosphorus(P)and total parathyroid hormone(i PTH): at T1,T2 and T3,the difference was statistically significant(P<0.01).(5)Comprehensive comparison of dialysis adequacy.Comparing the insufficiency of dialysis between the two groups,at T1,T2 and T3,the insufficiency of intervention group was lower than that of control group(P<0.01).(2)Comparison of quality of life scores: T1: There was no significant difference between the intervention group and the control group(P>0.05).At T2 and T3,the quality of life score of intervention group was higher than that of control group,and the difference was statistically significant(P<0.01).(3)Comparison of economic costs.The transportation cost,examination cost and treatment cost of the two groups were higher in the control group than in the intervention group,and the difference was statistically significant(P<0.01)..Compared with the intervention group,the reimbursement amount of the control group was lower,and the difference was statistically significant(P<0.01).ConclusionCompared with the conventional nursing plan,the provincial-county collaborative nursing intervention plan has better dialysis adequacy,lower economic cost and higher life quality,which is more conducive to the nursing treatment of patients with peritoneal dialysis in rural areas. |
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