摘要
目的:观察综合护理对进行血液透析治疗的慢性肾衰竭患者临床效果及睡眠质量的影响。方法:选取2019年1月至2021年2月福建中医药大学附属人民医院血液透析室收治的慢性肾衰竭患者108例作为研究对象,按照随机数字表法分为观察组和对照组,每组54例。对照组给予基础护理,观察组给予综合护理干预。采用自制睡眠量表比较2组患者睡眠质量改善情况,采用自制抑郁自评量表(SDS)及焦虑自评量表(SAS)比较2组患者抑郁及焦虑的改善情况,采用SF-36生命质量评分量表(SF-36)比较2组患者生命质量的改善程度,同时比较2组患者护理满意度及不良反应发生率。结果:护理前,2组患者睡眠质量评分比较,差异无统计学意义(P>0.05),护理后,观察组患者睡眠质量评分低于对照组,2组比较差异有统计学意义(P<0.05);护理前,2组患者SAS、SDS评分、SF-36生命质量评分比较,差异无统计学意义(均P>0.05);护理后,观察组患者SAS、SDS评分低于对照组,SF-36生命质量评分高于对照组,2组比较差异均有统计学意义(均P<0.05);观察组护理满意度高于对照组,2组比较差异有统计学意义(P<0.05),观察组并发症发生率低于对照组,2组比较差异有统计学意义(P<0.05)。结论:针对血液透析治疗的慢性肾衰竭患者,给予临床综合护理,可有效提高患者的睡眠质量,改善焦虑、抑郁情绪的情况,提高患者生命质量,提高护理满意度,降低不良反应发生率,值得临床推广使用。
Objective:To observe the effect of comprehensive nursing on the clinical effect and sleep quality of patients with chronic renal failure undergoing hemodialysis.Methods:A total of 108 patients with chronic renal failure admitted to the hemodialysis department of the Affiliated People′s Hospital of Fujian University of Traditional Chinese Medicine from January 2019 to February 2021 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 54 patients in each group.The control group was given basic nursing and the observation group was given comprehensive nursing intervention.Self-made Sleep Quality Scale was used to compare the sleep quality improvement between 2 groups,and self-made Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)were used to compare the improvement of depression and anxiety in the two groups.Short Form-36 Questionnaire(SF-36)was adopted to evaluate the degree of improvement in quality of life between 2 groups.At the same time,compare the nursing satisfaction and incidence of adverse reactions between 2 groups.Results:Before nursing,there was no significant difference in sleep quality score between 2 groups(P>0.05),after nursing,sleep quality score in observation group was lower than that in control group,the difference between the 2 groups was statistically significant(P<0.05);Before nursing,there were no significant differences in SAS,SDS and SF-36 quality of life scores between 2 groups(Ps>0.05).After nursing,SAS and SDS scores of observation group were lower than the control group,SF-36 quality of life score was higher than the control group,the differences were statistically significant(Ps<0.05);Nursing satisfaction in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:For patients with chronic renal failure treated by hemodialysis,giving clinical comprehensive nursing can effectively improve the sleep quality of patients,improve the situation of anxiety and depression,improve the quality of life of patients,improve nursing satisfaction,reduce the incidence of adverse reactions,which is worthy of clinical application.
作者
吴妙芬
WU Miaofen(Affiliated People′s Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350000,China)
出处
《世界睡眠医学杂志》
2021年第12期2171-2174,共4页
World Journal of Sleep Medicine
关键词
血液透析
慢性肾衰竭
综合护理
临床效果
睡眠质量
Hemodialysis
Chronic renal failure
Comprehensive nursing
Clinical effect
Sleep quality
