Application of nursing pathway in uremia patients after catherization for peritoneal dialysis

Abstract

Objective To discuss the effect of nursing pathway on uremia patients ’ self-management after catherization for peritoneal dialysis （ PD） .Methods A total of 140 uremia patients after catherization for PD were divided into the observation group （ 62 cases ） and the control group （ 78 cases ） .The control group applied traditional nursing and 7-day training method by PD nurses , while the observation group used nursing pathway by responsible nurses and PD nurses .Hospitalization days , expense , incidence of peritonitis within a month, patients ’ satisfaction and qalified rate of health education were compared between two groups . Results The average hospitalization day and the hospitalization expense was respectively （13.53 ±2.52）d and （18 300 ±4 900）yuan in the observation group, （16.97 ±3.99） d and （2 3670 ±5 100） yuan in the control group, and the differences were statistically significant （t =4.630, 4.579, respectively;P 〈0.05）.The satisfaction score and qualified rate of health education was （97.44 ±1.31） and 91.0% in the observation group, higher than （96.19 ±1.71） and 77.4% in the control group, and the differences were statistically significant （t/χ2 =3.654,5.016, respectively;P〈0.05）.Conclusions Nursing pathway for uremia patients after catherization for PD can obviously cut down their hospit alization expense and the incidence of peritonitis , as well as improve their satisfaction and pass rate of health education . Key words: Peritoneal dialysis; Uremia; Nursing pathway