首透责任制与提高血液透析患者生存质量探讨

Discussion on first hemodialysis responsibility and improving the quality of life in hemodialysis patients

目的探讨首透责任制护理在提高血液透析患者生存质量中所具备的重要意义。方法通过心理疏导、传授动静脉瘘管的观察,主动、系统地提供全方位的整体护理。结果与传统护理相比,首透责任制的认知度、生存质量均得到提高,差异有统计学意义(P<0.01或P<0.05)。结论实施首透责任制的患者对血透治疗的认知度、主动配合及依从性、治疗效果及服务满意度高,从而整体提高了患者的生存质量。

Objective To investigate the significance of first hemodialysis responsibility on improving the quality of life in hemodialysis patients. Methods Providing a full range nursing to the patients actively and systematically by the measures of psychological counseling, teaching the nursing on arteriovenous fistula, medication, eating and living education. Results Colnpared with conventional nursing, first hemodialysis responsibility had a increased awareness and quality of life, the difference was statistically significant （P 〈 0.01 or P 〈 0.05）. Conclusion Patients treated by first hemodialysis responsi- bility have a high awareness on hemodialysis, a high initiative and compliance, and a high satisfaction with treatment and services, so they have a wholly increased quality of life.