护理干预提高血液透析患者睡眠质量及自护能力的价值研究

The Value of Nursing Intervention in Improving Sleep Quality and Self-care Ability of Hemodialysis Patients

目的:探究护理干预对血液透析患者睡眠质量以及自护能力的影响。方法:选取2016年1月至2017年12月福建中医药大学附属人民医院收治的血液透析患者60例,按照随机数字表法随机分为观察组和对照组,每组30例,分别行综合护理干预与常规护理,对2组患者护理前后的睡眠质量(PSQI)、自护能力进行综合评价。结果:观察组患者护理后2周、4周的PSQI评分显著高于对照组,差异有统计学意义(P<0.05);观察组患者自我概念、自护责任感以及自护技能等各项评分与对照组呈现明显差异,差异有统计学意义(P<0.05)。结论:护理干预在血液透析中的应用,能够对患者睡眠质量起到改善作用,提升患者自护能力,效果显著,值得推广应用。

Objective:To explore the effect of nursing intervention on sleep quality and self-care ability of hemodialysis patients.Methods:A total of 60 patients who received hemodialysis treatment in People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January 2016 to December 2017 were selected as study objects.The random number table method was divided into the observation group and the control group,with 30 patients in each group receiving comprehensive nursing intervention and routine nursing respectively.The sleep quality(PSQI)and self-care ability of the two groups before and after nursing were comprehensively evaluated.Results:PSQI scores of the observation group were significantly higher than those of the control group at 2 weeks and 4 weeks after nursing(P<0.05),with statistical significance.The scores of self-concept,self-care responsibility and self-care skills in the observation group were significantly different from those in the control group(P<0.05),showing statistical significance.Conclusion:the application of nursing intervention in hemodialysis can improve the patients′sleep quality and improve the patients′self-care ability.