血液透析联合血液灌流治疗慢性肾衰竭患者实施人性化护理的临床效果

Clinical Effect of Hemodialysis Combined with Blood Perfusion on Patients with Chronic Renal Failure Undergoing Humanized Nursing

目的探究血液透析联合血液灌流治疗慢性肾衰竭患者实施人性化护理的临床效果。方法方便选取2018年1—12月期间内该院收治的血液透析联合血液灌流治疗慢性肾衰竭患者80例作为临床研究对象,并随机分成两组:一组在治疗期间实施人性化护理,为观察组(40例);另一组实施常规护理,为对照组(40例);评价比较两组患者在干预前后的SAS和SDS评分、护理满意度及透析不良反应情况。结果干预前观察组患者的SAS和SDS评分为(64.25±5.71)分、(58.72±5.34)分,对照组患者的SAS和SDS评分为(65.11±5.64)分、(58.45±5.29)分,两组比较均差异无统计学意义(t=0.251、0.429,P>0.05);干预后观察组患者的SAS和SDS评分为(37.44±5.29)分、(40.51±4.15)分,对照组患者的SAS和SDS评分为(45.58±6.05)分、(48.22±4.36)分,观察组均明显低于对照组,差异有统计学意义(t=6.352、8.523,P<0.05)。观察组患者的护理满意度为97.5%,对照组患者的护理满意度为80.0%,观察组明显高于对照组,差异有统计学意义(χ^2=4.215,P<0.05)。观察组患者的透析不良反应发生率为7.5%,对照组患者的透析不良反应发生率为27.5%,观察组明显低于对照组,差异有统计学意义(χ^2=8.892,P<0.05)。结论在对慢性肾衰竭患者进行血液透析联合血液灌流治疗期间,通过实施人性化护理,可以有效提高护理质量,降低透析不良反应发生率,值得临床推广。

Objective To explore the clinical effect of hemodialysis combined with blood perfusion in the treatment of patients with chronic renal failure.Methods Eighty patients with chronic renal failure treated with hemodialysis combined with hemoperfusion in our hospital from January to December 2018 were included in the clinical study and were randomly divided into two groups:one group implemented humanized nursing during treatment.For the observation group(40 cases);the other group received routine care as the control group(40 cases);the SAS and SDS scores,nursing satisfaction and dialysis adverse reactions were compared between the two groups before and after the intervention.Results The SAS and SDS scores of the observation group before the intervention were(64.25±5.71)points and(58.72±5.34)points.The SAS and SDS scores of the control group patients were(65.11±5.64)points and(58.45±5.29)points.There was no significant difference between the two groups(t=0.251,0.429,P>0.05).The SAS and SDS scores of the observation group were(37.44±5.29)points,(40.51±4.15)points,and SAS and control group patients.The SDS scores were(45.58±6.05)points and(48.22±4.36)points,and the observation group was significantly lower than the control group.The difference was statistically significant(t=6.352,8.523,P<0.05).The nursing satisfaction of the observation group was 97.5%,and the nursing satisfaction of the control group was 80.0%.The observation group was significantly higher than the control group,and the difference was statistically significant(χ^2=4.215,P<0.05).The incidence of dialysis adverse reactions was 7.5%in the observation group and 27.5%in the control group.The observation group was significantly lower than the control group,and the difference was statistically significant(χ^2=8.892,P<0.05).Conclusion During the treatment of hemodialysis combined with blood perfusion in patients with chronic renal failure,the implementation of humanized nursing can effectively improve the quality of care and reduce the incidence of dialysis adverse reactions,which is worthy of clinical promotion.