延续性护理干预在肾衰竭患者中的护理效果及对肾功能的影响

Nursing effect of extended nursing intervention in patients with renal failure and its effect on renal function

目的探讨延续性护理干预在肾衰竭患者中的作用。方法选择2015年7月至2016年6月我院收治的74例肾衰竭患者为研究对象,随机分为观察组和对照组各37例。观察组患者应用延续性护理,对照组患者给予常规护理,观察比较两组患者满意度、肾脏功能和焦虑评分差异。结果观察组患者护理满意度100%,明显高于对照组患者护理满意度83.77%,差异有统计学意义(Z=-2.777,P=0.005)。观察组患者Cr(417.43±34.01)mmol/L,显著低于对照组患者Cr(491.29±47.86)mmol/L,差异有统计学意义(t=9.472,P=0.022);观察组患者BUN(62.85±2.46)mmol/L,显著低于对照组患者(78.91±4.52)mmol/L,差异有统计学意义(t=7.496,P=0.031)。干预前,两组患者焦虑评分(49.25±3.02)分,与对照组患者焦虑评分(49.91±4.15)分比较,差异无统计学意义(t=8.025,P=0.146)。干预后,观察组患者焦虑评分(37.72±2.56)分,显著低于对照组患者(44.02±2.94)分,差异有统计学意义(t=12.592,P=0.035)。结论针对肾衰竭患者采用延续性护理干预可显著提高满意度,缓解不良情绪,改善肾功能。

Objective To explore the role of persistent nursing intervention in patients with renal failure. Methods Seventy-four patients with renal failure who were treated in our hospital from July 2015 to June 2016 were randomly divided into two groups. The patients in the experimental group were treated with continuous care. The patients in the control group were given routine care. The satisfaction, function and anxiety scores of the two groups were observed.Results The satisfaction rate of the observation group was 100%, significantly higher than the control group （83.77%）, the difference was statistically significant （z =-2.777, P = 0.005）. The Cr level in the observation group was （417.43±34.01） mmol/1, significantly lower than the control group （491.29±47.86） mmol/1, the difference was statistically significant （t = 9.472, P= 0.022）. The level of BUN in the observation group was （ 62.85 ± 2.46） mmol/1, significantly lower than the control group （ 78.91 ± 4.52） mmol/1, the difference was statistically significant （t = 7. 496, P = 0. 031 ）. Before the intervention, anxiety score of experimental group and control group were （49.25± 3.02）, and （ 49.91 ±4.15 ） respectively, the difference was not statistically significant （t = 8.025, P= 0.146）. After the intervention, anxiety score of experimental group and control group were （37.72±2.56） and （44.02±2.94） respectively, the difference was statistically significant （t = 12.592, P=0.035）.Conclusions The use of continuous nursing intervention in patients with renal failure can significantly improve the satisfaction, relieve bad mood and improve renal function.