不同护理干预在无肝素血液透析中的应用效果研究

Study on theapplication effects of different nursing interventions in heparin-free hemodialysis

目的探讨不同护理干预在无肝素血液透析中的应用效果。方法选取2019年1~6月在我院接受无肝素血液透析治疗的患者110例作为本研究对象,随机分为对照组和观察组,每组55例,对照组患者在治疗过程中实行常规护理,观察组患者实行改良后护理干预,比较两组患者的透后透析器及管路的凝血程度、不良反应发生率以及护理满意度。结果观察组0级患者例数显著多于对照组,差异有统计学意义(P<0.05);观察组患者的不良反应发生率为5.45%,显著低于对照组23.64%,差异有统计学意义(χ^2=7.122,P=0.003);观察组护理满意度98.18%明显高于对照组(78.18%),差异有统计学意义(χ^2=6.235,P=0.005)。结论改良后护理干预应用于无肝素血液透析可以提高治疗的安全性,并提高护理满意度,具有积极的临床应用价值。

Objective To explore the application effects of different nursing interventions in heparin-free hemodialysis.Methods One hundred and ten patients who underwent heparin-free hemodialysis in our hospital from January to June 2019 were selected as subjects of this study.The patients were randomly divided into control group and observation group,with 55 patients in each group.Patients in the control group were given conventional nursing during treatment,and patients in the observation group were given modified nursing intervention.The degree of coagulationin the dialyzer and tubing after dialysis,the incidence of adverse reactions and nursing satisfaction between the two groups were compared.Results The number of patients in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 5.45%,which was significantly lower than that in the control group(23.64%).The difference was statistically significant(χ^2=7.122,P=0.003).The nursing satisfaction of the observation group was 98.18%,which was significantly higher than that of the control group(78.18%),and the difference was statistically significant(χ^2=6.235,P=0.005).Conclusion The modified nursing intervention applied to heparin-free hemodialysis can improve the safety of treatment and improve nursing satisfaction,which has positive clinical application value.