强化护理管理模式对维持性血液透析患者液体平衡的影响
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摘要
目的分析强化护理管理模式对维持性血液透析患者液体平衡的影响。方法将80例血液透析患者作为研究对象,均给予强化护理管理,在此之前所有患者均采用常规护理,并进行为期3个月的有效指导。分析患者的护理效果。结果与强化护理管理前比较,实行强化护理管理后,患者体重增加百分率下降、血压达标率上升、每次透析脱水占体重的比例下降、充血性心力衰竭发生率下降,且患者护理满意度、健康教育测评优良率均高于强化护理管理前(P<0.05)。结论强化护理管理模式能使患者心力衰竭发生率降低,使患者血压达标率提升,还可提高患者护理满意度及治疗效果,值得在临床中推广应用。
Objective To analyze the effect of intensive nursing management mode on fluid balance in maintenance hemodialysis patients. Methods A total of 80 cases of hemodialysis patients were taken as the research objects, all of them were given intensive nursing management mode. Before that, all patients were given routine nursing and effective guidance for 3 months. The nursing effects of all patients were analyzed. Results After implementing the intensive nursing management model, the percentage of weight gain decreased, the compliance rate of blood pressure increased, the ratio of dehydration per dialysis to body weight decreased, and the incidence of congestive heart failure decreased. Compared with those before intensive nursing management, the patients' nursing satisfaction and good and excellant rate of health education evaluation were higher than those before intensive nursing management(P<0.05). Conclusion Intensive nursing management model can reduce the incidence of heart failure, improve the compliance rate of blood pressure, nursing satisfaction of patients and treatment effect, which is worth popularizing and applying in clinical practice.
Objective To analyze the effect of intensive nursing management mode on fluid balance in maintenance hemodialysis patients. Methods A total of 80 cases of hemodialysis patients were taken as the research objects, all of them were given intensive nursing management mode. Before that, all patients were given routine nursing and effective guidance for 3 months. The nursing effects of all patients were analyzed. Results After implementing the intensive nursing management model, the percentage of weight gain decreased, the compliance rate of blood pressure increased, the ratio of dehydration per dialysis to body weight decreased, and the incidence of congestive heart failure decreased. Compared with those before intensive nursing management, the patients' nursing satisfaction and good and excellant rate of health education evaluation were higher than those before intensive nursing management(P<0.05). Conclusion Intensive nursing management model can reduce the incidence of heart failure, improve the compliance rate of blood pressure, nursing satisfaction of patients and treatment effect, which is worth popularizing and applying in clinical practice.
引文
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[3]邹丽丽,张红,于蓉,等.血液透析患者发生导管相关血流感染的临床特点分析[J].中国临床新医学,2017,10(10):1008-1011.
[4]苏小霞,李洪波.高通量透析对维持性血液透析患者钙磷代谢及甲状旁腺激素的影响[J].中国临床新医学,2016,9(10):891-894.
[5]李瑛.彩色多普勒超声在血液透析患者高位动静脉内瘘首次穿刺中的应用效果分析[J].中国临床新医学,2017,10(5):482-483.
[6]陈英杰,曹令仪.腹膜透析相关腹膜炎常见致病菌分布及耐药性检验分析[J].中国临床新医学,2016,9(9):818-820.
[7]郭刚,倪虹.品管圈活动减少血液透析患者并发症的效果观察[J].中国临床护理,2016,8(5):390-393.