【摘要】   目的   探讨知信行模式对居家腹膜透析患者延续护理的应用效果。方法   选取2017年1月至2020年1月在北戴河康复疗养中心行腹膜透析随访的100例患者为研究对象，随机数字表分为对照组和观察组，各50例。对照组进行常规护理干预，观察组在对照组的基础上实施知信行模式护理干预。在干预前后，分别评估两组患者腹膜透析并发症发生率和发生频次、自我管理能力和生活质量的变化。结果   干预前两组患者腹膜透析并发症(腹膜炎、出口感染、引流不畅)发生率和频次、自我护理能力、生活质量评分比较，差异无统计学意义(P＞0.05)；干预6个月后，两组患者腹膜炎、出口感染、引流不畅、并发症发生率和发生频次均降低，但观察组明显低于对照组，差异有统计学意义(P＜0.05)；自我护理能力中的自我概念、自我责任感、自我护理技能、自我护理能力总评分分别为(24.58±3.92)分、(19.46±2.87)分、(34.80±6.92)分、(120.28±13.28)分，均高于对照组的(15.80±4.02)分、(14.84±3.36)分、(24.74±5.98)分、(97.96.28±9.60)分，P＜0.01，健康知识评分为(42.92±8.37)分，与对照组的(42.10±7.33)分比较，差异无统计学意义，P＞0.05；生活质量中的躯体功能、心理功能、社会功能、物质生活、生活质量总评分分别为(71.86±6.44)分、(80.06±5.50)分、(80.62±5.47)分、(76.14±7.26)分、(81.28±5.05)分，均高于对照组的(62.28±9.28)分、(72.90±5.21)分、(72.34±5.64)分、(70.20±8.38)分、(74.16±7.72)分，P＜0.01。结论   知信行模式的护理干预能降低居家腹膜透析患者并发症的发生率和频次，提高自我护理能力和生活质量，提升患者的延续护理效果，延长寿命。

【 Abstract 】 Objective To explore the effect of Kap mode on continuous nursing care of peritoneal dialysis patients at home. Methods 100 patients undergoing peritoneal dialysis from January 2017 to January 2020 were randomly divided into Control Group (N = 50) and Observation Group (N = 50) . Patients in the control group were given routine nursing intervention by peritoneal dialysis nurses, while patients in the observation group were given kap nursing intervention based on the control group. Before and after intervention, the incidence and frequency of peritoneal dialysis complications, self-management ability and quality of life were evaluated. Results There was no significant difference in the incidence and frequency of peritoneal dialysis complications (peritonitis, outlet infection and drainage obstruction) , self-care ability and quality of life between the two groups before intervention (p > 0.05) , the incidence and frequency of peritonitis, exit infection, poor drainage, complication in the observation group were significantly lower than those in the control group (p < 0.05) The scores of self-care ability (except health knowledge, self-concept, self-responsibility and self-care skill) were significantly higher than those of the Control Group (p < 0.01) The scores of physical function, psychological function, social function and material life were all improved, but they were significantly higher in the observation group than in the control group (p < 0.01) . Conclusion The nursing intervention of KAP model can reduce the incidence and frequency of complications, improve self-care ability and quality of life, improve the effect of continuous care and prolong the life of patients.