老年患者的持续性血液透析技术及护理要点

The technique and nursing highlight of maintenance hemodialysis in senile uremia patients

目的探讨老年患者尿毒症的特点和进行持续性透析时的技术要点及护理技术,以提高老年尿毒症患者的生活质量。方法根据老年患者的患病特点有针对性地进行重点透析管理,从透析机器及透析器的选择、血流量、透析液浓度、透析温度、超滤量、透析次数和时间等方面进行综合管理;从透析环境、心理护理、体重监测、血管通路的护理、呼吸道管理、观察病情、并发症护理等方面进行重点护理。结果通过实施特定的透析技术及重点护理,老年尿毒症患者的透析质量得到保障,无1例并发症发生,患者满意度达到98%。结论通过实施针对老年患者的透析技术及护理方法,增强了家属的参与意识,提高了患者的满意度,护理人员专业技术水平也得到了一定程度的提高。

Objective To explore the features of uremia in senile patients,and find out techniques and nursing highlights of maintenance hematodialysis in order to improve the life quality of senile uremia patients.Methods According to the characteristics of the senile uremia patients,dialysis administration was implemented.Synthetic administration was performed in terms of the choices of dialyser,the blood flow,dialysate concentration,temperature,ultrafiltrate amount,frequency and time of dialysis.Special nursing was enforced in environment,psychological nursing,body weight monitoring,blood vessel,respiratory,progression and complications.Results By enforcing dialysis technique and nursing,the quality of dialysis in the senile uremia patients was guaranteed and 98 percent satisfaction rate was achieved. Meanwhile no complications occurred.Conclusion By enforcing dialysis technique and nursing in the senile uremia patients,the participating awareness of family members enhanced and the satisfaction of patient improved. At the same time,the technical level of nursing staff can be upgraded.