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康复计划对腹膜透析病人社会回归的影响 被引量:31

Effects of a rehabilitation program on the social status of peritoneal dialysis patients
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摘要 目的:通过对腹膜透析患者实施以五“E”为中心的康复计划,提高其生活质量,最终达到社会回归。方法:对腹膜透析患者进行包括体液控制、饮食指导、运动康复、心理辅导4个方面的康复治疗,观察治疗12周前后患者的生活状态变化,将患者分为3级。结果:实施康复治疗前后患者生活状态等级构成比分别为:治疗前1级:50%,2级:40.6%,3级:9.4%;治疗后1级:14.1%,2级:28.1%,3级:57.8%,经检验差异有显著性意义(P<0.001)。治疗后有37例患者达到3级,其中6例重新参加工作,2例从事志愿者活动,其余患者能象同年龄的正常人一样生活。结论:以五“E”为中心的康复计划可提高腹膜透析患者的生活质量,促进社会回归。 Objective:To assess the effects of a rehabilitation program dominated by five'E'on social status in peritoneal dialysis patient.Method:The life status of the patients were divided into three grades.All patients underwent rehabilitation program including fluid control,dietary restriction,exercise and psychological counsel for12weeks.Result:Before introducing the rehabilitation program,the numbers of patients in grade1,2,3were50%,40.6%,9.4%,respectively?After12weeks of the rehabilitation program,the number of patients in grade1,2,3were14.1%,28.1%,57.8%,respectively.Patients life status improved significantly,P<0.001.After the rehabilitation program,the number of patients in grade3increased from six to thirty-seven,six of whom returned to work again,two patients engaged in volunteer work,and the others lived as healthy people.Conclusion:Rehabilitation program dominated by five'E'can improve the social status in peritoneal dialysis patients.Author's address Institute of Nephrology,The First Hospital,Peking University,Beijing,100034
出处 《中国康复医学杂志》 CAS CSCD 2003年第5期264-265,共2页 Chinese Journal of Rehabilitation Medicine
基金 北京大学长江学者985基金(36-1)资助项目
关键词 康复计划 腹膜透析 社会回归 影响 生活质量 rehabilitation program peritoneal dialysis five'E' social status
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  • 1Elisabeth Brodin,Susanne Liungman, Maxim Hedberg, et al.Physical activity,muscle performance and quality of life in patients treated with chronic peritoneal dialysis[J].Scand J Urol Nephrol,2001,35:71-78.
  • 2The Emerging Role of Patient Self-management[J]. Life Opitions, 2000,8(4):1-4.
  • 3Ann-Louise Caress, Karen A.Luker,R.Glynn Owens.Adesefiptive study of meaning of illness in chronic renal disease[J].Journal of Adyanced Nursing,2001,33(6):716-727.
  • 4Karen T L, Patricia M Dubbert, Exercise and hypertension[J].Curt Opin Cardiol,2001,16:356-359.
  • 5McAuley KA, Williams SM, Mann JI, et al.Intensive lifestyle changes are necessary to improve insulin sensifiveity:randomized controlled trial[J].Diabetes Care,2002.25-445.

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