细节护理对血液透析患者并发症及生活质量的影响研究
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摘要
目的探讨细节护理干预对维持性血液透析(Maintenance hemodialysis,MHD)并发症发生率及生活质量的影响。方法方便选取2015年6月—2016年6月期间在该科住院的MHD患者120例,分为对照组和观察组。对照组进行常规护理,观察组进行细节护理干预,观察两种护理方法下患者并发症发生率的差异,同时采用SF-36量表评估两组患者的生活质量。结果观察组并发症的发生率(23.33%)、对护理服务的满意率(93.33%)、接受治疗的依从性(73.33%)明显低于对照组(50.00%、58.33%、46.67%),观察组各方面生存质量明显高于对照组,两组比较差异有统计学意义(P<0.05)。结论细节护理干预可显著提高维持性血透患者的质量依从性,从而减少患者主要并发症的发生率,提高其生活质量及护理满意度,具有较好的临床推广价值。
Objective To investigate the effect of detailed nursing intervention on the incidence of complication and quality of life in maintenance hemodialysis(MHD). Methods Convenient select a total of 120 MHD patients admitted to our department from June 2015 to June 2016 were enrolled and divided into control group and observation group. The control group received routine care, the observation group underwent detailed nursing intervention, and the difference in the incidence of complications between the two nursing methods was observed. The quality of life of the two groups was evaluated using the SF-36 scale. Results The incidence of complications in the observation group(23.33%), satisfaction rate with nursing services(93.33%), and compliance with treatment(73.33%) were significantly lower than those in the control group(50.00%,58.33%, 46.67%), the quality of life of the observation group was significantly higher than that of the control group, the two groups were statistically significant(P<0.05). Conclusion Detailed nursing intervention can significantly improve the quality compliance of maintenance hemodialysis patients, thus reducing the incidence of major complications, improving their quality of life and nursing satisfaction, and has a good clinical promotion value.
Objective To investigate the effect of detailed nursing intervention on the incidence of complication and quality of life in maintenance hemodialysis(MHD). Methods Convenient select a total of 120 MHD patients admitted to our department from June 2015 to June 2016 were enrolled and divided into control group and observation group. The control group received routine care, the observation group underwent detailed nursing intervention, and the difference in the incidence of complications between the two nursing methods was observed. The quality of life of the two groups was evaluated using the SF-36 scale. Results The incidence of complications in the observation group(23.33%), satisfaction rate with nursing services(93.33%), and compliance with treatment(73.33%) were significantly lower than those in the control group(50.00%,58.33%, 46.67%), the quality of life of the observation group was significantly higher than that of the control group, the two groups were statistically significant(P<0.05). Conclusion Detailed nursing intervention can significantly improve the quality compliance of maintenance hemodialysis patients, thus reducing the incidence of major complications, improving their quality of life and nursing satisfaction, and has a good clinical promotion value.
引文
[1]于霞,邓冰,何珊,等.维持性血液透析女性患者焦虑抑郁倾向及相关因素分析[J].贵州医药,2016,40(12):1316-1317.
[2]孙黎,胡璐璐,包琤.细节护理干预对尿毒症血液透析患者并发症及生活质量的影响[J].齐鲁护理杂志,2018,24(17)104-106.
[3]杨丽.综合护理对尿毒症患者血液透析期间合并心衰的预防效果观察[J].心血管病防治知识:学术版,2015,3(12):88-89.
[4]Kacaroglu Vicdan A,Gulseven Karabacak B.Effect of Treatment Education Based on the Roy Adaptation Model on Adjustment of Hemodialysis Patients[J].Clin Nurse Spec,2016,30(4):E1-E13.
[5]Thompson S,Tonelli M,Klarenbach S,et al.A Qualitative Study to Explore Patient and Staff Perceptions of Intradialytic Exercise[J].Clin JAm Soc Nephrol,2016,11(6):1024-1033.
[6]郭颖超.认知行为护理对肾内科血液透析患者生活质量的影响[J].齐鲁护理杂志,2018,24(3):85-87.
[7]曹柯.护理干预在肾内科血液透析患者中的应用效果研究综述[J].临床合理用药杂志,2018,11(3):176-178.
[8]刘元.探讨认知行为干预对肾内科血液透析病人生活质量的影响[J].健康周刊,2017,8(39):105,111.
[9]吴晓芸,白莹,李迎婕,等.认知行为护理干预对慢性肾衰血液透析治疗患者肾功能及生存质量的影响[J].海南医学2017,28(6):1023-1025.
[10]纪伯玲,侯晶,朱春林.认知行为护理干预对慢性肾衰竭血液透析治疗病患肾功能指标及生存质量的改善作用探讨[J].实用临床护理学电子杂志,2017,2(37):135,143.
[11]麦文丽,苏明容.细节护理干预对尿毒症血液透析患者并发症及生活质量的影响研究[J].齐齐哈尔医学院学报2016,37(11):1508-1509.
[12]宋静,邓颖,杨宇成.维持性血液透析老年患者心理弹性现状及相关因素研究[J].护理学杂志,2017,32(13):19-21.
[13]李书群,赵燕平,李园,等.心理护理干预对维持性尿毒症血液透析患者焦虑郁情绪的影响[J]国际精神病学杂志2017,4(3):553-555.
[14]边雪燕.细节护理干预对尿毒症血液透析患者并发症及生活质量的影响[J].世界最新医学信息文摘,2015,15(59)183,190.
[15]孙文丽.细节护理对尿毒症血液透析患者并发症及生活质量的影响分析[J].中国卫生标准管理,2016(Z1):62-63.
[16]郝思琴.护理干预对尿毒症血液透析患者心理状态的影响[J].现代医药卫生,2015,31(23):3650-3652.
[17]李芬,高珺,时淑侠,等.基于控制论为导向的护理模式对血液透析患者焦虑情绪及并发症的影响[J].现代中西医结合杂志,2016,25(10):1123-1125.
[18]范文霞,肖琼,周克.护理干预对血液透析患者心理及生活质量影响的临床观察[J].实用临床医药杂志,2015,19(14)36-38.
[19]纪笑艳.协同护理模式对血液透析患者自我护理能力和生活质量的影响[J].长春中医药大学学报,2016,32(2)373-375.
[20]侯远丽.细节护理干预对血液透析患者的负性情绪及生活质量的影响研究[J].山西医药杂志,2015,44(13):1576-1578
[2]孙黎,胡璐璐,包琤.细节护理干预对尿毒症血液透析患者并发症及生活质量的影响[J].齐鲁护理杂志,2018,24(17)104-106.
[3]杨丽.综合护理对尿毒症患者血液透析期间合并心衰的预防效果观察[J].心血管病防治知识:学术版,2015,3(12):88-89.
[4]Kacaroglu Vicdan A,Gulseven Karabacak B.Effect of Treatment Education Based on the Roy Adaptation Model on Adjustment of Hemodialysis Patients[J].Clin Nurse Spec,2016,30(4):E1-E13.
[5]Thompson S,Tonelli M,Klarenbach S,et al.A Qualitative Study to Explore Patient and Staff Perceptions of Intradialytic Exercise[J].Clin JAm Soc Nephrol,2016,11(6):1024-1033.
[6]郭颖超.认知行为护理对肾内科血液透析患者生活质量的影响[J].齐鲁护理杂志,2018,24(3):85-87.
[7]曹柯.护理干预在肾内科血液透析患者中的应用效果研究综述[J].临床合理用药杂志,2018,11(3):176-178.
[8]刘元.探讨认知行为干预对肾内科血液透析病人生活质量的影响[J].健康周刊,2017,8(39):105,111.
[9]吴晓芸,白莹,李迎婕,等.认知行为护理干预对慢性肾衰血液透析治疗患者肾功能及生存质量的影响[J].海南医学2017,28(6):1023-1025.
[10]纪伯玲,侯晶,朱春林.认知行为护理干预对慢性肾衰竭血液透析治疗病患肾功能指标及生存质量的改善作用探讨[J].实用临床护理学电子杂志,2017,2(37):135,143.
[11]麦文丽,苏明容.细节护理干预对尿毒症血液透析患者并发症及生活质量的影响研究[J].齐齐哈尔医学院学报2016,37(11):1508-1509.
[12]宋静,邓颖,杨宇成.维持性血液透析老年患者心理弹性现状及相关因素研究[J].护理学杂志,2017,32(13):19-21.
[13]李书群,赵燕平,李园,等.心理护理干预对维持性尿毒症血液透析患者焦虑郁情绪的影响[J]国际精神病学杂志2017,4(3):553-555.
[14]边雪燕.细节护理干预对尿毒症血液透析患者并发症及生活质量的影响[J].世界最新医学信息文摘,2015,15(59)183,190.
[15]孙文丽.细节护理对尿毒症血液透析患者并发症及生活质量的影响分析[J].中国卫生标准管理,2016(Z1):62-63.
[16]郝思琴.护理干预对尿毒症血液透析患者心理状态的影响[J].现代医药卫生,2015,31(23):3650-3652.
[17]李芬,高珺,时淑侠,等.基于控制论为导向的护理模式对血液透析患者焦虑情绪及并发症的影响[J].现代中西医结合杂志,2016,25(10):1123-1125.
[18]范文霞,肖琼,周克.护理干预对血液透析患者心理及生活质量影响的临床观察[J].实用临床医药杂志,2015,19(14)36-38.
[19]纪笑艳.协同护理模式对血液透析患者自我护理能力和生活质量的影响[J].长春中医药大学学报,2016,32(2)373-375.
[20]侯远丽.细节护理干预对血液透析患者的负性情绪及生活质量的影响研究[J].山西医药杂志,2015,44(13):1576-1578