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[预防腹膜透析患者便秘的价值:一项高级实践护理研究]

[The value of preventing constipation in patients treated with peritoneal dialysis: an advanced practice nursing study].

作者信息

Cousin Saurel Karine, Ringot Audrey, Verot Élise

机构信息

Infirmière DE, IPA option mention maladie rénale chronique, dialyse, transplantation rénale, hôpitaux Drôme Nord, Romans-sur-Isère, France

Cheffe projets, Ph.D Santé Publique, coordination en cancérologie HCL, laboratoire Parcours Santé Systémique (P2S), UR 4129, hôpital Lyon Sud, Pierre-Bénite, France

出版信息

Rech Soins Infirm. 2023;153(2):69-79. doi: 10.3917/rsi.153.0069.

Abstract

INTRODUCTION

In 1989, experts developed the Rome criteria classification coupled with the use of the Bristol scale, to objectify the condition of functional constipation.Background Nowadays, little is documented in the literature about transit disorders in patients with End-Stage Chronic Renal Failure treated with peritoneal dialysis, even though this causes non-negligible complications on the patient’s morbidity, comfort and quality of life.

OBJECTIVE

The main objective of our study was to evaluate the prevalence of constipation in CKD patients.

MATERIAL AND METHOD

We conducted a retrospective multicenter data-driven study.

RESULTS

74 patient records were analyzed. We found a prevalence of constipation of 58 % in patients with CKD.

DISCUSSION

Our results showed that the prevalence of constipation is frequent in patients with CKD. It leads to a significant discomfort for the patient, an additional cost in terms of care and technical procedures and a failure of the peritoneal dialysis technique.

CONCLUSION

Thus, the prevention of constipation in CKD patients would be relevant to limit complications and ensure a better quality of life.

摘要

引言

1989年,专家们制定了罗马标准分类法并结合布里斯托量表的使用,以客观化功能性便秘的状况。背景 如今,关于接受腹膜透析治疗的终末期慢性肾衰竭患者转运障碍的文献记载很少,尽管这会给患者的发病率、舒适度和生活质量带来不可忽视的并发症。

目的

我们研究的主要目的是评估慢性肾脏病(CKD)患者便秘的患病率。

材料与方法

我们进行了一项回顾性多中心数据驱动研究。

结果

分析了74份患者记录。我们发现CKD患者便秘的患病率为58%。

讨论

我们的结果表明,CKD患者便秘的患病率很高。这会给患者带来极大不适,在护理和技术操作方面增加成本,并导致腹膜透析技术失败。

结论

因此,预防CKD患者便秘对于限制并发症和确保更好的生活质量具有重要意义。

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