摘要
目的:分析比较强化营养护理在改善维持性血液透析患者生活质量中的作用。方法:选取2016年8月-2017年1月进入本院治疗的血液透析患者100例作为研究对象,按照随机数字表法将其分为常规组(n=50)和营养组(n=50)。常规组给予常规护理模式,营养组给予强化营养护理模式,观察比较护理前及护理6个月后患者的体质量指数(BMI)、相关生化指标、营养不良-炎症评分量表(MIS)和简明健康状况调查表(SF-36)评分情况。结果:护理6个月后,常规组的BMI为(22.9±2.6)kg/m^2、血清白蛋白(36.5±4.5)g/L、肌酐(833.4±89.3)μmol/L以及血红蛋白(94.2±10.3)g/L,均明显低于营养组的(24.1±2.5)kg/m^2、(41.5±5.1)g/L、(1 084.3±156.6)μmol/L以及(104.3±12.2)g/L,差异均有统计学意义(P<0.05)。护理6个月后,营养组MIS评分为(5.89±0.68)分明显低于对照组的(8.14±1.50)分,差异有统计学意义(P<0.05)。护理6个月后,营养组各项生活质量评分和总分较护理前明显升高,但常规组无明显变化;营养组各项生活质量评分和总分均明显高于常规组,差异均有统计学意义(P<0.05)。结论:强化营养护理能明显提高维持性血液透析患者的生活质量,可以在维持性透析患者的临床护理中推广应用。
To analyze and compare the role of intensive nutrition nursing in improving the quality of life of patients with maintenance hemodialysis.Method:A total of100patients hemodialysis admitted in our hospital from August2016to January2017were selected as study subjects.According to the random number table method,they were divided into regular group(n=50)and nutrition group(n=50).The regular group was given routine nursing mode,the nutrition group was given intensive nutrition nursing mode.The body mass index(BMI),related biochemical indicators,malnutrition inflammation scale(MIS)and brief health status questionnaire(SF-36)scores before and after nursing6months were observed and compared.Result:After nursing6months,the BMI was(22.9±2.6)kg/m2,serum albumin(36.5±4.5)g/L,creatinine(833.4±89.3)μmol/L and hemoglobin(94.2±10.3)g/L respectively in the regular group,which were significantly lower than(24.1±2.5)kg/m2,(41.5±5.1)g/L,(1084.3±156.6)μmol/L and(104.3±12.2)g/L in the nutrition group,the differences were statistically significant(P<0.05).After nursing6months,the MIS score of nutrition group was(5.89±0.68)score,which was significantly lower than(8.14±1.50)score of control group,the difference was statistically significant(P<0.05).After nursing6months,the scores and total scores of quality of life in the nutrition group were significantly higher than those before nursing,but there were no significant changes in the routine group;and the scores and total scores of the quality of life in the nutrition group were significantly higher than those in the routine group,the differences were statistically significant(P<0.05).Conclusion:Intensive nutrition nursing can significantly improve the quality of life of maintenance hemodialysis patients and could be popularized and applied in the clinical nursing of maintenance hemodialysis patients.
作者
许海丹
XU Haidan(Shenzhen No.2 People’s Hospital,Shenzhen 518000,China)
出处
《中国医学创新》
CAS
2018年第24期94-99,共6页
Medical Innovation of China
关键词
营养护理
血液透析
生活质量
常规护理
Nutritional nursing
Hemodialysis
Quality of life
Routine nursing
