整体护理对尿毒症维持性血液透析合并营养不良病人的影响

Effect of holistic nursing on uremia patients with maintenance hemodialysis complicated with malnutrition

[目的]探讨整体护理对尿毒症维持性血液透析合并营养不良病人的影响。[方法]选择2017年3月—2018年3月在我院接受治疗的88例尿毒症维持性血液透析病人进行研究。采用随机数字表法将病人分为观察组与对照组各44例。对照组采用常规护理,观察组则采用整体护理。使用改良定量主观整体评估(MQ-SGA)表、自制依从性调查表、汉密尔顿焦虑量表(HAMA)、贝克抑郁量表(BDI)和McGill生活质量量表(中文版)对两组病人疗效、依从性、负性情绪及生活质量进行比较。[结果]对照组营养不良发生率为65.91%,高于观察组的43.18%(P<0.05);对照组依从良好率为79.55%,低于观察组的95.46%(P<0.05);两组病人HAMA及BDI评分均下降,但观察组下降更为明显(P<0.05);两组病人干预后生活质量水平均升高,但观察组升高幅度更为明显(P<0.05)。[结论]整体护理较常规护理可降低尿毒症维持性血液透析病人营养不良的发生率、提高依从性、减少负性情绪、提高生活质量。

Objective:To explore the effect of holistic nursing on patients with uremia maintenance hemodialysis complicated with malnutrition.Methods:A total of 88 uremia patients with maintenance hemodialysis who were treated in our hospital from March 2017 to March 2018 were enrolled and divided into the observation group and the control group according to the random number table method,44 cases in each group.The patients in control group received routine care.The patients in observation group received holistic nursing.The modified quantitative subjective global assessment(MQ-SGA)table,self-made compliance questionnaire,Hamilton anxiety scale(HAMA),baker depression inventory(BDI)and McGill quality of life scale(Chinese version)were used to compare the efficacy,compliance,negative emotions and quality of life of patients between the both groups.Results:The incidence of malnutrition in control group was 65.91%,which was higher than that in observation group(43.18%)(P<0.05).The good compliance rate in control group was 79.55%,which was lower than that in observation group(95.46%)(P<0.05).The HAMA and BDI scores decreased in both groups,but the decrease was more significant in the observation group(P<0.05).The quality of life was increased in both groups after intervention,but the increase was more significant in observation group(P<0.05).Conclusions:Compared with routine nursing,holistic nursing can reduce the incidence of malnutrition in uremia patients with maintenance hemodialysis,improve compliance,reduce negative emotions and improve their quality of life.