Résumé
0bjective To investigate the status of readiness for hospital discharge of chronic renal failure patients undergoing arteriovenous fistula surgery and analyze its influencing factors. Methods A total of 229 diabetic patients who were discharged from the department of endocrinology were surveyed by the general data questionnaire, Readiness for Hospital Discharge Scale (RHDS), Quality of Discharge Teaching Scale (QDTS) and Social Support Rating S1cale (SSRS). Results The total score of RHDS was (157.20±19.39) points, and the items were equally (7.15±0.88) points. Education level, inhabiting pattern, discharge guidance skills and subjective support entered the readiness for hospital discharge regression equation of chronic renal failure patients undergoing arteriovenous, accounting for a total of 33.1% of all the variation. Conclusions The readiness for hospital discharge of chronic renal failure patients undergoing arteriovenous fistula surgery is intermediate level. Education level, inhabiting pattern, discharge guidance skills and subjective support could exert important influence on readiness for hospital discharge of chronic renal failure patients undergoing arteriovenous fistula surgery.
Résumé
Objective To analyze retrospectively the relationship between protein nutrition index (PNI) and survival conditions in patients with peritoneal dialysis (PD).Methods Various clinical and laboratory indexes of patients with chronic kidney disease from January 2004 to January 2014 were analyzed retrospectively.PNI score was determined by serum albumin (ALB),normalized protein nitrogen presentation rate (nPNA),lean body mass (LBM).According to PNI score,PD patients were divided into four groups:good nutrition status,nutrition status in general,poor nutrition,PEW status.Linear regression analysis was used to analyze determine factors of PNI;analysis of Kaplan-Meier was applied to examine relationship between the protein nutrition status and survival rate;COX regression analysis was used to analyze the risk factors for survival in patients with PD.Results All the indexes,age,complications index,serum Cr,K-Kt/V,T-Kt/V had a linear relationship with PNI.5-year survival rate in the four groups were respectively 95％,92％,65％,23％.Age,complications,PNI index were the survival risk factors of PD patients.Conclusions According to PNI score,evaluation of protein nutritional status of patients with PD could predict survival conditions of PD patients,the higher PNI score,the higher survival rate.