黃麗 王敏 羅素娟
[摘要]目的 探討針對性護理對血液透析(HD)患者預后的影響。方法 選取2016年9月~2018年3月我院收治的60例尿毒癥晚期患者作為研究對象,按照隨機數(shù)字表法分為對照組(n=30)與觀察組(n=30)。對照組采用常規(guī)護理方法,觀察組采用針對性護理方法。比較兩組的干預效果。結果 觀察組干預后的血肌酐水平、尿素氮水平低于對照組,差異均有統(tǒng)計學意義(P<0.05);兩組的白細胞、紅細胞、血鈉、血鉀水平比較,差異無統(tǒng)計學意義(P>0.05);觀察組干預后舒張壓(SBP)、收縮壓(DBP)、平均動脈壓(MAP)水平低于對照組,差異均有統(tǒng)計學意義(P<0.05);觀察組干預后的生活質量評分高于對照組,差異有統(tǒng)計學意義(P<0.05)。結論 針對性護理對HD患者有較好的效果,能改善患者血肌酐、尿素氮水平,降低SBP、DBP、MAP水平,而對白細胞、紅細胞、血鈉、血鉀水平則穩(wěn)定性較好,改善患者的生活質量。
[關鍵詞]針對性護理;血液透析;預后;影響
[中圖分類號] R473.6? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-4721(2020)5(a)-0233-03
Effect of targeted nursing on prognosis of uremic hemodialysis patients
HUANG Li? ?WANG Min? ?LUO Su-juan
The Third Department of General Surgery, People′s Hospital of Yichun City, Jiangxi Province, Yichun? ?336000, China
[Abstract] Objective To explore the effect of targeted nursing on the prognosis of hemodialysis (HD) patients. Methods A total of 60 patients with advanced uremia admitted to our hospital from September 2016 to March 2018 were selected as the research objects. They were divided into control group (n=30) and observation group (n=30) according to random number table method. The control group adopted routine nursing method, while the observation group adopted targeted nursing method. The intervention effects of the two groups were compared. Results The levels of serum creatinine and urea nitrogen in the observation group were lower than those in the control group, with statistical differences (P<0.05), there were no significant differences in the levels of white blood cells, red blood cells, blood sodium and blood potassium between the two groups (P>0.05); the levels of diastolic blood pressure (SBP), systolic blood pressure (DBP), mean arterial pressure (MAP) in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). The score of quality of life in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). Conclusion Targeted nursing has a good effect on HD patients. It can improve the serum creatinine level and urea nitrogen level, reduce the levels of SBP, DBP and MAP, while it has a good stability on the levels of white blood cells, red blood cells,, blood sodium and blood potassium, and improve the quality of life of patients.
[Key words] Targeted nursing; Hemodialysis; Prognosis; Effect
綜上所述,針對性護理對HD患者有較好的效果,能改善患者血肌酐水平、尿素氮水平,降低SBP、DBP、MAP水平,而對白細胞、紅細胞、血鈉、血鉀水平則穩(wěn)定性較好,且患者的生活質量得到明顯的提高。
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(收稿日期:2019-09-26? 本文編輯:崔建中)