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目的:尿毒症患者腹膜透析置管术的护理体会。方法:回顾性分析我院2015年3月至2016年3月,肾病病房选择腹膜透析治疗的尿毒症患者30例的临床资料。结果:30例患者中1例患者因体型较胖、腹部脂肪多、腹腔面积大引发票管,手术复位再次票管后被迫拔管改为血透;另外1例患者由于家庭经济原因未坚持规律腹膜透析3个月后死亡,其余患者均顺利置管、透析效果良好。结论:通过医务人员的术前指导及术后护理,对患者心理适应的仔细观察并进行心理教育可帮助患者调整较好的心态,可预防心理疾病的发生,提高生活质量。
Objective: Nursing experience of peritoneal dialysis catheterization in patients with uremia. Methods: A retrospective analysis of our hospital from March 2015 to March 2016, nephrology ward selected peritoneal dialysis treatment of uremic patients in 30 cases of clinical data. Results: One patient in 30 patients was changed to hemodialysis due to body fatter, more abdominal fat and large abdominal cavity area. After the operation was reopened, the tube was extubated and replaced by hemodialysis. In addition, 1 patient was not persisted due to family economic reasons Regular peritoneal dialysis died after 3 months, the rest of the patients were successfully placed tube, dialysis effect is good. Conclusion: Through the preoperative guidance and postoperative care of medical staff, careful observation and psychological education of patients’ psychological adjustment can help patients to adjust their mentality, prevent the occurrence of psychological diseases and improve the quality of life.