延续护理对维持性血液透析患者的应用效果评价

Evaluation of Application Effect of Continuation Nursing on Patients with Maintenance Hemodialysis

目的:探讨延续护理在维持性血液透析患者的应用效果分析。方法:选取2014年5月-2015年12月在笔者所在医院做维持性血液透析患者65例作为研究对象,采用随机数字表法分为研究组(33例)和对照组(32例),对照组采用传统的常规护理方案,研究组实施延续护理模式。结果:护理12周后,研究组患者的液体和离子的限制行为、饮食量的管理行为、运动爱好行为、一般状态的管理和社会心理行为及患者自我管理行为总分各评分均高于对照组,比较差异均有统计学意义(P<0.05);研究组生理功能、心理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康等生活质量指标各项评分均明显高于对照组,比较差异均有统计学意义(P<0.05);研究组患者透析前血清PO_4^(3-)、K^+、BUN水平均低于对照组,血清Ca^(2+)水平显著高于对照组,比较差异均有统计学意义(P<0.05);两组患者透析前的Scr水平比较差异无统计学意义(P>0.05)。结论:对MHD患者实行延续护理模式能提高患者的自我管理能力,增加依从性,提升患者的生活质量,值得临床推广使用。

Objective：To explore the application effect of continuation nursing on patients with maintenance hemodialysis.Method：From May 2014 to December 2015,65 patients with maintenance hemodialysis treated in our hospital were selected as the object,and were divided into the control group（n=32） and the research group（n=33） by random number table.The control group adopted the traditional routine nursing program,and the research group implemented the continuation nursing model.Result：After 12 weeks of nursing,the scores of liquid and ion restriction behavior,the dietary management behavior,the sports hobby behavior,the general state management,the social psychological behavior and the patient self-management behavior total score of the research group were higher than those of the control group,the differences were statistically significant（P〈0.05）.The scores of quality of life indicators such as physiological function,psychological function,physical pain,general health status,energy,social function,emotional function and mental health in the research group were significantly higher than those in the control group,and the differences were statistically significant（P〈0.05）.The serum levels of PO_4^（3-）,K~＋,BUN in the research group before dialysis were lower than those in the control group,and the levels of serum Ca^2＋ in the research group were significantly higher than those in the control group（P〈0.05）,but the two groups of patients before dialysis Scr levels had no significant difference（P〈0.05）.Conclusion：The continuation nursing for patients with MHD can improve patients＇ self-management ability,increase compliance,and improve the quality of life of patients,it is worth to clinical use.