摘要
目的探讨综合护理干预在尿毒症血液透析患者临床护理中的应用价值。方法选择我院2016年11月—2017年11月收治的尿毒症血液透析患者168例作为研究对象。依据随机数字表法,将其均分成两组。对照组(84例)采取常规护理,观察组(84例)在此基础上,给予综合护理干预。记录比较两组并发症发生情况和干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分变化及患者对护理工作的满意度。结果与对照组相比,观察组低血压、血钾异常发生率均明显下降,差异具有统计学意义(P<0.05);与对照组相比,观察组并发症总发生率(21.4%)较低,差异具有统计学意义(P<0.01);且干预后,观察组SAS、SDS评分均低于对照组,差异具有统计学意义(P<0.01)。观察组患者在服务态度、专业水平、履行职责、优质服务及制度落实上的评分均高于对照组,差异具有统计学意义(P<0.01)。结论综合护理干预能有效减少尿毒症血液透析患者并发症,缓解其焦虑抑郁情绪,提高护理满意度。
Objective To explore application value of comprehensive nursing intervention in uremic hemodialysis patients. Methods 168 patients with uremic hemodialysis in our hospital from November 2016 to November 2017 were selected as the research subjects. According to the random number table method, they were divided into two groups. Routine care was taken in the control group （84 cases）. On the basis of the observation group （84 cases）, comprehensive nursing intervention was given. The complications of two groups were recorded and the scores of self rating anxiety scale （SAS）, self rating depression scale （SDS） and patients＇ satisfaction with nursing work were compared. Results Compared with the control group, the incidence of hypotension and blood potassium abnormality in the observation group was signifcantly lower than that in the control group （P 〈 0.05）. Compared with the control group, the incidence of complications in the observation group was lower （21.4%）, and the difference was statistically significant （P 〈 0.01）. After intervention, the scores of SAS and SDS in the observation group were lower than those in the control group, and the difference was statistically signifcant （P 〈 0.01）. The scores of the patients in the observation group were higher than those in the control group in the service attitude, professional level, performance responsibility, quality service and system implementation, and the difference was statistically signifcant （P 〈 0.01）. Conclusion Comprehensive nursing intervention helps uremic hemodialysis patients to reduce complications, relieve anxiety and depression, improve nursing satisfaction.
作者
韩彤
李颖
葛霞
HAN Tong;LI Ying;GE Xia(The First Center of Blood Purifcation,Shengjing Hospital of China Medical University,Shenyang Liaoning 110004,China)
出处
《中国继续医学教育》
2018年第22期167-169,共3页
China Continuing Medical Education
基金
国家卫计委公益性行业科研专项(201502010)
关键词
综合护理
尿毒症
血液透析
焦虑抑郁情绪
护理满意度
应用价值
comprehensive nursing
uremic
hemodialysis
anxiety and depression
nursing satisfaction
application value
