[1]徐海红,刘 宇,宋桂云.腹膜透析患者认知功能障碍对日常透析操作影响的研究[J].医学信息官方网站,2022,35(15):110-113.[doi:10.3969/j.issn.1006-1959.2022.15.025]
　XU Hai-hong,LIU Yu,SONG Gui-yun.Study on the Effect of Cognitive Dysfunction in Peritoneal Dialysis Patients on Daily Dialysis Operation[J].Medical Information,2022,35(15):110-113.[doi:10.3969/j.issn.1006-1959.2022.15.025]
点击复制

腹膜透析患者认知功能障碍对日常透析操作影响的研究()

《医学信息》官方网站[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年15期
页码:
110-113
栏目:
论著
出版日期:
2022-08-01

文章信息/Info

Title:
Study on the Effect of Cognitive Dysfunction in Peritoneal Dialysis Patients on Daily Dialysis Operation
文章编号:
1006-1959（2022）15-0110-04
作者:
徐海红; 刘 宇; 宋桂云
（1.首都医科大学附属复兴医院护理部，北京 100038；2.中国医科大学护理学院社区护理学教研室，辽宁 沈阳 110122；3.首都医科大学附属复兴医院综合老年医学科，北京 100038）
Author(s):
XU Hai-hong; LIU Yu; SONG Gui-yun
(1.Department of Nursing,Fuxing Hospital,Capital Medical University,Beijing 100038,China;2.Department of Community Nursing,School of Nursing,China Medical University,Shenyang 110122,Liaoning,China;3.Department of Geriatrics and General Medicine,Fuxing Hospital,Capital Medical University,Beijing 100038,China)
关键词:
慢性肾脏病; 腹膜透析; 认知功能障碍; 透析操作
Keywords:
Chronic kidney disease; Peritoneal dialysis; Cognitive dysfunction; Dialysis operation
分类号:
R692.5
DOI:
10.3969/j.issn.1006-1959.2022.15.025
文献标志码:
A
摘要:
目的 评估腹膜透析患者认知功能状况，并分析其认知功能障碍的特点，探讨认知功能障碍对患者日常腹膜透析操作的影响。方法 采用方便抽样的方法，选取北京市某三级医院肾内科腹透中心2017年7月-2018年6月长期随访患者100例，通过自设问卷收集患者的社会人口学资料和疾病相关资料。使用蒙特利尔评估量表（MoCA）评估患者的认知功能，并进行腹膜透析操作考核，比较认知功能正常与认知功能障碍患者评分，分析认知功能障碍对患者透析操作的影响。结果 81.00%腹膜透析患者存在认知功能障碍，腹膜透析患者操作考核成绩平均分为（69.90±10.63）分，操作考核合格率为13.00%；其中各操作亚项操作前准备部分合格率25.00%，操作过程合格率15.00%。其中得分最低的部分为环境的准备，得分率为55.00%；操作考核项中“紫外线照射消毒频率”正确率最低，为34.00%；认知功能障碍患者的腹膜透析操作考试成绩低于认知功能正常的患者，差异有统计学意义（P＜0.05）；MoCA各亚项得分与透析操作过程考核总分的相关分析中，执行功能和注意力与透析操作过程考核总分呈正相关（r=0.220、0.230，P＜0.05）。结论 腹膜透析患者多合并认知功能障碍，且腹膜透析操作合格率低，应重视对腹膜透析患者进行认知功能评估，及早发现合并认知功能障碍者，并对其加强宣教与培训。
Abstract:
Objective To evaluate the cognitive function of peritoneal dialysis patients and analyze the characteristics of their cognitive dysfunction, and to explore the influence of cognitive dysfunction on the daily peritoneal dialysis operation of patients.Methods A convenient sampling method was used to select 100 long-term follow-up patients from July 2017 to June 2018 in the peritoneal dialysis center of a tertiary hospital in Beijing. Social demographic data and disease-related data were collected by self-designed questionnaires. The Montreal Assessment Scale ( MoCA ) was used to assess the cognitive function of patients, and peritoneal dialysis operation was assessed. The scores of patients with normal cognitive function and cognitive dysfunction were compared, and the influence of cognitive dysfunction on dialysis operation was analyzed.Results 81.00% of peritoneal dialysis patients had cognitive dysfunction. The average score of operation assessment was (69.90±10.63) scores, and the qualified rate of operation assessment was 13.00%. Among them, the qualified rate of the preparation part before each operation was 25.00%, and the qualified rate of the operation process was 15.00%. The lowest score part was the preparation of the environment, and the score rate was 55.00%; among the operational assessment items, the correct rate of ‘ultraviolet irradiation disinfection frequency’ was the lowest, which was 34.00%; the peritoneal dialysis operation test scores of patients with cognitive impairment were lower than those of patients with normal cognitive function, and the difference was statistically significant (P＜0.05). Executive function and attention were positively correlated with the total score of dialysis operation process assessment in the correlation analysis between the scores of each sub item of MOCA and the total score of dialysis operation process assessment(r=0.220, 0.230, P<0.05).Conclusion Peritoneal dialysis patients are mostly combined with cognitive dysfunction, and the qualified rate of dialysis operation is low. Clinical nursing staff should pay attention to the cognitive function assessment of the peritoneal dialysis patients, detect the peritoneal dialysis patients with cognitive dysfunction as soon as possible, and their education and train should be strengthen.

参考文献/References:

[1]杨倩蓉,杨明莹,黄芩,等.延续护理对持续性非卧床腹膜透析患者生活质量的影响[J].昆明医科大学学报,2017,38(8):134-139.[2]李芬.慢性肾脏病腹膜透析病人认知功能障碍现状及影响因素分析[J].全科护理,2020,18(35):4905-4907.[3]毛东东.维持性腹膜透析患者认知功能障碍与中医证型关系的临床研究[D].武汉:湖北中医药大学,2018.[4]陶秀波.腹膜透析患者自我护理能力现状及影响因素分析[J].医学信息,2020,33(13):177-179.[5]徐鹏杰,张豪杰,王芳,等.腹膜透析患者退出原因分析[J].浙江医学,2017,39(24):2279-2279.[6]Nasreddine ZS,Phillips NA,Bedirian V,et al.The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment[J].J Am Geriatr Soc,2005,53(4):695-699.[7]倪兆慧,金海姣.中国腹膜透析发展70年[J].中国血液净化,2019,18(10):661-663.[8]王颖.血液透析自我效能与生活质量及负面情绪的关系研究[J].中国继续医学教育,2017,9(12):171-173.[9]梁小华,冯洁霞,许叶含,等.激励式延续性护理对慢性肾功能衰竭腹膜透析负性情绪与自我管理行为的影响[J].护理实践与研究,2019,16(18):53-55.[10]李敏,王琴,任野萍.不同肾脏替代治疗对ESRD患者认知功能的影响[J].中国血液净化,2017,16(11):768-770.[11]李云生,王文龙,戴再友,等.高压氧对腹膜透析患者认知功能障碍和脑源性神经营养因子的影响[J].中国中西医结合肾病杂志,2016,17(8):705-707.[12]刘琼.腹膜透析患者认知功能损害及危险因素分析[J].江西医药,2016,51(3):266-268.[13]陈真真.慢性肾脏病腹膜透析患者认知功能现状及影响因素[J].护理实践与研究,2020,17(11):23-25.[14]栾凤武,彭佳楠,冯晓楠,等.腹膜透析患者认知障碍及其危险因素的研究[J].宁夏医学杂志,2021,43(8):684-686.[15]Drew DA,Weiner DE,Tighiouart H,et al.Cognitive decline and its risk factors in prevalent hemodialysis patients[J].Am J Kidney Dis,2017,69(6):780-787.[16]Murthy VS,Shukla VS.A study of executive function in patients with chronic kidney disease before and after a single session of Hemodialysis[J].J Neurosci Rural Pract,2020,11(2):250-255.[17]宁丽娜,尚进,赵继芳,等.腹膜透析患者首次发生腹膜炎的危险因素研究[J].中国全科医学,2018,21(2):150-154.[18]Diamond A.Executive functions[J].Annual Review of Psychology,2013,64(1):135-168.

相似文献/References:

[1]谢 琴.肾小球C4d沉积在慢性肾病早期诊断及预后的价值分析[J].医学信息官方网站,2018,31(08):81.[doi:10.3969/j.issn.1006-1959.2018.08.025]
　XIE Qin.Value of Glomerular C4d Deposition in Early Diagnosis and Prognosis of Chronic Kidney Disease[J].Medical Information,2018,31(15):81.[doi:10.3969/j.issn.1006-1959.2018.08.025]
[2]钟 旭.慢性肾脏病相关神经精神疾病的研究[J].医学信息官方网站,2022,35(11):51.[doi:10.3969/j.issn.1006-1959.2022.11.015]
　ZHONG Xu.Study on Neuropsychiatric Diseases Associated with Chronic Kidney Disease[J].Medical Information,2022,35(15):51.[doi:10.3969/j.issn.1006-1959.2022.11.015]
[3]林子娟,王美玲,王 芳.基于CiteSpace软件的腹膜透析护理文献计量学研究[J].医学信息官方网站,2022,35(15):32.[doi:10.3969/j.issn.1006-1959.2022.15.006]
　LIN Zi-juan,WANG Mei-lin,WANG Fang.Bibliometric Study on Peritoneal Dialysis Nursing Based on CiteSpace Software[J].Medical Information,2022,35(15):32.[doi:10.3969/j.issn.1006-1959.2022.15.006]
[4]彭琪彦.慢性肾脏病患者RBP与T淋巴细胞亚群 检测的临床意义[J].医学信息官方网站,2019,32(18):91.[doi:10.3969/j.issn.1006-1959.2019.18.029]
　PENG Qi-yan.Clinical Significance of Detection of RBP and T Lymphocyte Subsets in Patients with Chronic Kidney Disease[J].Medical Information,2019,32(15):91.[doi:10.3969/j.issn.1006-1959.2019.18.029]
[5]崔方强.足细胞上皮间质转分化研究[J].医学信息官方网站,2019,32(22):21.[doi:10.3969/j.issn.1006-1959.2019.22.008]
　CUI Fang-qiang.Epithelial Transdifferentiation of Podocytes[J].Medical Information,2019,32(15):21.[doi:10.3969/j.issn.1006-1959.2019.22.008]
[6]高 彬,孙 娜,常文秀.慢性肾脏病患者血钾异常相关因素分析[J].医学信息官方网站,2019,32(22):91.[doi:10.3969/j.issn.1006-1959.2019.22.027]
　GAO Bin,SUN Na,CHANG Wen-xiu.Analysis of Related Factors of Serum Potassium Abnormality in Patients with Chronic Kidney Disease[J].Medical Information,2019,32(15):91.[doi:10.3969/j.issn.1006-1959.2019.22.027]
[7]谢小街,黄凤梅,王满琴,等.氯沙坦钾片联合黄葵胶囊和贝前列素钠片对腹膜透析患者腹透液蛋白丢失的影响[J].医学信息官方网站,2019,32(24):136.[doi:10.3969/j.issn.1006-1959.2019.24.048]
　XIE Xiao-jie,HUANG Feng-mei,WANG Man-qin,et al.Effect of Losartan Potassium Tablets,Huangkui Capsules,and Beprost Sodium Tablets on Peritoneal Fluid Protein Loss in Patients with Peritoneal Dialysis[J].Medical Information,2019,32(15):136.[doi:10.3969/j.issn.1006-1959.2019.24.048]
[8]王希敏.2型糖尿病并发慢性肾脏病患者外周血T淋巴细胞亚群变化与肾血管内皮功能障碍的相关 分析[J].医学信息官方网站,2021,34(23):77.[doi:10.3969/j.issn.1006-1959.2021.23.021]
　WANG Xi-min.Correlation Analysis of T Lymphocyte Subsets in Peripheral Blood with Renal Vascular Endothelial Dysfunction in Patients with Type 2 Diabetes Mellitus Complicated with Chronic Kidney Disease[J].Medical Information,2021,34(15):77.[doi:10.3969/j.issn.1006-1959.2021.23.021]
[9]陶秀波.腹膜透析患者自我护理能力现状及影响因素分析[J].医学信息官方网站,2020,33(13):177.[doi:10.3969/j.issn.1006-1959.2020.13.057]
　TAO Xiu-bo.Analysis of Current Status and Influencing Factors of Self-care Ability of Peritoneal Dialysis Patients[J].Medical Information,2020,33(15):177.[doi:10.3969/j.issn.1006-1959.2020.13.057]
[10]袁 娟,赫英龙.参芎葡萄糖与前列地尔治疗慢性肾脏病的疗效比较[J].医学信息官方网站,2020,33(14):163.[doi:10.3969/j.issn.1006-1959.2020.14.053]
　YUAN Juan,HE Ying-long.Comparison of Curative Effect between Shenqiong Glucose and Alprostadil in Treating Chronic Kidney Disease[J].Medical Information,2020,33(15):163.[doi:10.3969/j.issn.1006-1959.2020.14.053]

更新日期/Last Update: 1900-01-01