Objectives: The study aimed to examine the association of three anemia-related biomarkers with the adequacy of peritoneal dialysis (PD) in patients with chronic kidney disease (CKD). Methods: This study included 127 PD patients. The total Kt/V urea (Kt/V) was calculated according to the Kidney Disease Outcomes Quality Initiative (K/DOQI) guidelines. All patients were classified into two groups based on Kt/V, viz., adequate (Kt/V ≥1.7) and inadequate (Kt/V <1.7) groups. Effect sizes are expressed as odds ratios (ORs) and 95% confidence interval (CI). Results: After adjusting for age, gender, hypertension, diabetes, and PD duration, 20 g/L increment in hemoglobin (Hgb) was observed to significantly reduce the risk of inadequate PD by 19% (OR; 95% CI; P: 0.81; 0.70 to 0.95; 0.009), 5 g/L increment in the mean corpuscular hemoglobin concentration (MCHC) by 7% (0.93; 0.88 to 0.98; 0.009), and 5% increment in transferrin saturation (TS) by 23% (0.77; 0.64 to 0.94; 0.012). The gender-specific nomogram model was constructed by incorporating three significant anemia-related biomarkers and convenient influencing factors, and the prediction accuracy was good (concordance index (C-index): 0.686 for men and 0.825 for women). Conclusion: Our findings indicate that the deterioration of three anemia-related biomarkers (Hgb, MCHC, and TS) can precipitate the development of inadequate PD in Chinese patients with CKD.

总结1例腹膜透析术后患者切口脂肪液化的护理经验。主要内容包括：在做好术后切口常规护理的基础上，为患者切口进行红纱条填塞换药，且表面用10%浓氯化钠注射液外敷；结合患者病情进行腹膜透析、饮食与营养指导、心理护理。

： Summarize the nursing experience of a patient with severe edema complicated with heart failure in peritoneal dialysis. Focus of nursing:Through diuresis, adjustment of peritoneal dialysis treatment plan, 3-day food diary, personalized diet plan, establishment of patient-specific wechat group, training of related theoretical knowledge and operation of peritoneal dialysis, combined with traditional Chinese medicine enema, traditional Chinese medicine ultrasonic penetration, five-elements music and ear acupoint sticking and other traditional Chinese medicine nursing characteristics, the patients' edema and heart failure have been significantly improved.

总结1例腹膜透析患者重度水肿合并心力衰竭的护理经验。护理重点：通过利尿、调整腹膜透析治疗方案、三日饮食日记、个性化饮食方案、建立患者专属微信群、腹膜透析相关理论知识与操作的培训，联合中药灌肠、中药超声透药、五行音乐与耳穴贴压等中医护理特色技术，使患者水肿与心衰情况得到明显改善。

为探讨中医干预腹膜透析治疗的科研力量分布、研究热点、现状及未来发展趋势,以1993 年1 月—2022 年12 月在中国知网(CNKI)发表的中医干预腹膜透析治疗相关文献为数据源,应用CiteSpace 6.1.R6 软件,从发文作者、研究机构、关键词及突现词等不同角度,分析中医药干预腹膜透析治疗领域中的核心团队、团队间合作网络、研究热点等分布情况,并将分析结果进行可视化展示.分析发现:中医药干预腹膜透析的科研工作受到广大学者的重视,发文量总体呈现上升趋势;研究机构以中医院校,大型中医医院为主,核心团队突出,团队内部合作为主,研究群体之间交集不多,研究力量较为分散;主要研究热点为中医证型分析,中医干预腹膜透析相关并发症的辨证施治及临床疗效评价等.针对分析中提出的问题,建议进一步推进中医干预腹膜透析治疗的研究,加强跨机构的多元化科研合作交流,以促进我国中医干预腹膜透析治疗取得高质量、科学化、多元化发展.

目的 探索医疗失效模式与效应分析在居家腹膜透析(腹透)患者管理的应用价值.方法 选取2020年1-6月该院腹透中心管理的居家规律腹透3个月及以上、年龄18～75岁患者68例作为研究对象,应用医疗失效模式与效应分析(HFMEA)对患者的管理进行风险评估,制订具体改进措施,比较该管理模式实施前后风险优先指数(RPN)值,以及患者居家腹透相关理论知识、腹透操作与外出口换药操作考核结果等.结果 应用HFMEA进行居家腹透患者管理后水肿、饮食与出入量不平衡、腹膜炎、心力衰竭、运动量不足等主要失效模式的RPN值明显下降,差异均有统计学意义(t=26.159、19.490、9.752、4.813、6.062,P<0.05);患者理论知识、透析操作与外出口换药操作考核成绩均明显提升,差异均有统计学意义(t=5.976、2.820、3.886,P<0.05).结论 应用HFMEA模式对居家腹透患者进行管理,对解决患者居家腹透相关问题、提高患者理论知识与操作能力是有效、可行的.

Objective To investigate the effect of five-element music therapy combined with auricular acupoint pressing on emotional status and sleep quality of patients with peritoneal dialysis. Methods Totally 80 peritoneal dialysis patients with catheter placement were randomly divided into the control group and the intervention group, with 40 cases in each group. All patients received routine care and emotion nursing, and those in the intervention group were given five-element music therapy combined with auricular acupoint pressing. The anxiety, depression status and sleep quality of patients were evaluated. Results The scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) decreased in both groups after a two-week intervention, and were lower in the intervention group than those in the control group (P<0. 01). The score of Pittsburgh Sleep Quality Index (PSQI) decreased in both groups after a two-week intervention, and was lower in the intervention group than that in the control group (P<0. 01). Conclusion On the basis of routine care and emotion nursing, the five-element music therapy combined with auricular acupoint pressing is effective to improve the emotional status and sleep quality of patients with peritoneal dialysis.