肾内科护理风险的相关因素分析及针对性护理效果评价

Evaluate of nephrology nursing related factors of risk assessment and targeted treatment effect

目的探讨分析肾内科护理风险的相关因素及针对性的护理效果。方法选取我院收治的80例老年肾内科患者,按照随机数表法分为观察组和对照组,每组40例,对照组患者运用常规护理,观察组患者在常规护理的基础上,根据老年肾内科患者护理存在的风险因素进行针对性护理。结果观察组患者并发症发生率显著低于对照组,组间比较差异均具有统计学意义(分别χ2=5.164 7,3.913 9,4.210 5,4.210 5,P<0.05)。观察组的血压、心率正常情况均明显高于对照组(分别χ2=4.266 0,P<0.05;χ2=7.500 0,P<0.01),而焦虑情况、不良反应的发生率明显低于对照组,组间比较差异有统计学意义(分别χ2=8.900 6,P<0.01;χ2=4.587 8,P<0.05)。观察组患者平均住院天数(22.1±2.3)d,对照组患者平均住院天数(25.2±2.5)d,组间比较差异有统计学意义(t=5.775 1,P<0.05)。观察组的满意度(98.84%)明显高于对照组(80.58%),组间比较差异有统计学意义(χ2=7.224 0,P<0.05)。结论针对性的护理措施能够有效提高护理质量,降低患者住院期间的并发症,减少住院时间,有利于患者的快速康复,值得临床推广应用。

Objective To investigate the related risk factors and effects of targeted nursing care for nephrology.Methods Eighty elderly patients with nephrology in our hospital were randomly divided into observation group and control group,40cases in each.Routine care was used in patients of the control group,and targeted nursing care was used in patients of the observation group on the basis of usual care,according to the presence of risk factors in elderly nephrology.Results The incidence of complications in patients in the observation group was significantly lower than that in the control group.Comparison between the two groups was statistically different（respectivelyχ^2=5.164 7,3.913 9,4.210 5,4.210 5,P〈0.05）.Observation group pressure,heart rate normal circumstances were significantly higher（respectivelyχ^2=4.266 0,P〈0.05;χ^2=7.500 0,P〈0.01）,and anxiety,the incidence of adverse reactions was significantly lower than the control group,the difference between groups was statistically significant（χ^2=8.900 6,P〈0.01;χ^2=4.587 8,P〈0.05）.The average length of stay of patients in the observation group（22.1±2.3）days,average length of stay of patients in the control group（25.2±2.5）days,the difference between the two groups was statistically significant（t=5.775 1,P〈0.05）.Satisfaction with the observation group（98.84%）was significantly higher（80.58%）,the difference between the two groups was statistically significant（χ^2=7.224 0,P〈0.05）.Conclusion Targeted care measures can effectively improve quality of care,reduce complications during hospitalization,reduce hospitalization time and be conducive to the rapid recovery of patients.It is worthy of clinical application.