摘要
目的探讨居家护理对血液透析患者生活质量的影响。方法将80例血液透析患者随机分为对照组及实验组，每组40例。对照组在患者透析时给予常规的护理及指导，实验组除在患者透析时给予常规的护理及指导外，还实施居家护理，包括定期电话了解和上门随访，给予提供导管的护理、动静脉内瘘的自我监测及保护、如何控制水份的摄入、合适的运动疗法及自我护理方法等。结果两组患者干预前的操作技术、用药依从性、饮食与水盐限制、疾病监测和并发症的管理等评分比较差异无统计学意义。实验组实施居家护理后血液透析病人的操作技术、用药依从性、饮食与水盐限制、疾病监测和并发症的管理等评分高于对照组，两者比较差异有统计学意义（P〈o．01）。结论实施居家护理能改善血液透析患者的机能状态，提高患者的生活质量，同时可以减轻家属的经济负担，节约医疗服务资源，为今后医院管理服务提供方向。
Objective To explore home health eare in quality of life of hemodialysis patients. Methods A total of 80 cases of hemodialysis patients were randomly divided into control group and experimental group, each group was 40 cases, control group was received routine care and guidance only at dialysis, experimental group was not only received routine care and gnidance at dialysis, but also implemented home health care, including regular telephone and follow up, provided hemodialysis arteriovenous fistula catheter nursing, how to enhance training methods of fistula function, physical therapy, how to control the water to intake, self - monitoring and protecting of the fistula, self- care methods and so on. Results The scores of operation techniques, medication compliance, diet and water salt restriction, disease monitoring and complications management were compared （ P 〉 0. 05 ）, which the difference was not significant. Scores of operation techniques, medication compliance, diet and water salt restriction, disease monitoring and complications management in control group after implemented home care were higher than those of control group （ P 〈0.01 ） . Conclusions Implementation of home health care can improve fimetional status in hemodialysis patients, improve patient quarry of life, ancl also can reduce the financial burden on families, saving medical services resources, provide the direction of hospital management services for the future.
出处
《国际护理学杂志》
2011年第11期1633-1635,共3页
international journal of nursing
关键词
血液透析
居家护理
生活质量
Hemodinlysis
Home health care
Quality of life
