The analysis of death risk factors for peritoneal dialysis patients and nursing countermeasures

Abstract

Objective To induce and analysis the death relative factors of peritoneal dialysis patients over the past five years in fourth ward of qiandongnan from guizhou province guiyang medical college affiliated people's hospital in endocrinology and to improve the effect of nursing intervention. Methods 492 peritoneal dialysis patients were retrospective analyzed from Mar 2009 to Mar 2014, in order to conclude the causes of the patients that ending with death (n =89) and to formulate targeted nursing measures. Results The primary disease for death of maintained peritoneal patients was cardiovascular events [41.6%(37/89)], and the second factor was infection [32.6%(29/89)]. The risk factors for mortality were age (≥70 years old), diabetes, endogenous creinine clearance rate declined [<50 L·week-1·m-2 ],change of hemodialysis to peritoneal dialysis and higher peritoneal transport status. Conclusions It's important to strengthen the nursing intervention for the peritoneal dialysis patients with coronary heart disease, and to formulate targeted nursing measures for risk factors, so as to avoid the death. Key words: Peritoneal dialysis; Risk factors; Nursing; Disease outcome