Effect of the integrated nursing management model in peritoneal dialysis patients

ObjectiveTo explore the application value of the integrated nursing management model in peritoneal dialysis(PD) patients.

MethodsFrom June 2009 to May 2012, 226 chronic renal failure patients treated with PD were nursed using the integrated nursing model.The changes of laboratory indicactors, care indicator compliance rate and cardiac imaging were observed within 1 year, and the incidence rate of peritonitis was analyzed.

ResultsCompared to the day of discharge, the serum levels of Alb, TP, Hb and Cr increased, and the level of serum phosphorus decreased in PD patients at 3, 6 and 12 months of treatment(P < 0.05 to P < 0.01).Compared with at 3 months of treatment, the serum level of Alb in PD patients significantly increased at 12 months of treatment(P < 0.01).The incidence rate of peritonitis from 2010 to 2012 were 1/37.7, 1/56.5 and 1/75.3 times a month in patients, respectively, and the incidence rate of which showed downward trend.Compared to the day of discharge, the change of left atrial diameter in PD patients was not obvious with in 1 year of treatment(P>0.05).The cardiothoracic ratio, right ventricular diameter, and interventricular septal thickness increased at 3, 6, and 12 months of treatment(P < 0.05 to P < 0.01).Compared with 3 months of treatment, the cardiothoracic ratio at 6 and 12 months of treatment increased, and the right ventricular diameter increased 12 months of treatment(P < 0.01).The self-care skills, self-care responsibility, self-concept, health knowledge and total score of the patients gradually increased during the 1 year of treatment, and the differences among different time points were statistically significant(P < 0.01), those at 3, 6 and 12 months of treatment were higher than that on the day of discharge, and those in 6 months and 12 months of treatment were higher than that at 3 months of treatment(P < 0.01).

ConclusionsThe integrated nursing management model in the application of PD patients has important clinical significance, which can effectively improve the quality of life and self-efficacy of patients.