摘要
目的探讨预见性护理在老年尿毒症患者诱导期血液透析中的应用效果。方法选择2016年1—6月本医院肾内科收治的62例老年尿毒症诱导期血液透析患者,随机分为对照组(30例)和观察组(32例),对照组患者采用传统经验护理方法,并未针对常见并发症进行优化及预防性处理,观察组患者在此基础上增加诱导期预见性护理。比较两组患者的护理服务满意度及常见并发症的发生率。结果实施预见性护理干预后,观察组患者总满意96.88%,明显高于对照组患者护理总满意率70.00%,差异有统计学意义(Z=-2.049,P=0.009)。观察组患者透析失衡综合征、低血压、心率失常等并发症发生率9.39%,明显低于对照组患者并发症发生率73.33%,差异有统计学意义(χ~2=26.322,P<0.001)。结论预见性护理可以有效提高老年尿毒症患者及家属的满意度,降低并发症发生率,是一种有效的护理方法。
Objective To explore the effect of predictive nursing in the hemodialysis of elderly patients with uremia.Methods 62 patients with hemodialysis,admitted in department of nephrology of the first affiliated hospital of Bengbu medical college during January 2016 to June 2016,were randomly divided into control group（ n= 30） and observation group（ n= 30）. The individualized induction dialysis program was established by doctors according to the condition of each elderly dialysis patient. The 30 cases in control group using the traditional experience nursing method,did not optimize and preventive treatment of common complications. However,the 32 cases in observation group were given predictive nursing care on this basis of the control group. The above patients＇ satisfaction on nursing service and the incidence of common complications were compared. Results After the predictive nursing intervention,the satisfaction degree of the observation group was significantly higher than that of the control group（ 96.88% vs 70.00%,Z =-2.049,P = 0.009）. The incidence of complications such as Imbalance syndrome,hypotension and arrhythmia in the observation group was significantly lower than that in the control group（ 9.39% vs 73.33%）,the difference was statistically significant（ χ~2= 26. 322,P〈 0. 001）. Conclusions Predictive nursing can effectively improve the satisfaction degree of elderly patients with uremia and their family members,and reduce the incidence of complications. It is an effective nursing method.
出处
《齐齐哈尔医学院学报》
2017年第21期2585-2587,共3页
Journal of Qiqihar Medical University
基金
安徽省高等学校省级优秀青年人才基金项目(2012SQRL100)
关键词
诱导期
血液透析
预见性护理
尿毒症
nephrology
affiliated hospital
engbu medical college
dialysis patient
observation group
nursing service
Imbalance syndrome
