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。
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 nurs
作者
徐海红
刘宇
宋桂云
XU Hai-hong;LIU Yu;SONG Gui-yun(Department of Nursing,Fuxing Hospital,Capital Medical University,Beijing 100038,China;Department of Community Nursing,School of Nursing,China Medical University,Shenyang 110122,Liaoning,China;Department of Geriatrics and General Medicine,Fuxing Hospital,Capital Medical University,Beijing 100038,China)
出处
《医学信息》
2022年第15期110-113,共4页
Journal of Medical Information
关键词
慢性肾脏病
腹膜透析
认知功能障碍
透析操作
Chronic kidney disease
Peritoneal dialysis
Cognitive dysfunction
Dialysis operation
