集束化护理对行血液透析孕妇营养状况及心理状态的影响

Effect of Cluster Nursing on Nutritional Status and Psychological Status of Pregnant Women Undergoing Hemodialysis

目的探讨集束化护理对行血液透析孕妇营养状况及心理状态的影响。方法选择2017年9月-2019年10月于我院接受血液透析的62例妊娠合并尿毒症患者作为研究对象,随机分为2组,各31例。两组均进行血液透析,对照组予以常规护理,观察组在对照组基础上进行集束化护理,两组均连续护理2个月。观察两组患者营养状况及心理状态。结果干预2个月后,两组转铁蛋白(TRF)、血红蛋白(Hb)及血浆白蛋白(Alb)水平均高于治疗前,且观察组更高,两组营养不良-炎症评分(MIS)、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分低于治疗前,且观察组更低,差异有统计学意义(P<0.05)。结论对行血液透析孕妇进行集束化护理,可有效改善患者营养状况及心理状态,值得临床推广。

Objective To investigate the effect of cluster nursing on nutritional status and psychological status of pregnant women undergoing hemodialysis. Methods Sixty-two pregnant women with uremia who underwent hemodialysis in our hospital from September 2017 to October 2019 were selected as the research subjects and randomly divided into 2 groups with 31 cases each. Both groups received hemodialysis,the control group received routine care,and the observation group received clustered care on the basis of the control group. Both groups received continuous care for 2 months. Observe the nutritional status and mental state of the two groups of patients.Results After 2 months of intervention,the levels of transferrin(TRF),hemoglobin(Hb),and plasma albumin( Alb) in the two groups were higher than before treatment,and the observation group was higher. The malnutrition-inflammatory score(MIS) in the two groups was higher.,The anxiety self-assessment scale(SAS) and depression self-assessment scale(SDS) scores were lower than before treatment,and the observation group was lower,the difference was statistically significant(P<0.05).Conclusion Cluster nursing for pregnant women undergoing hemodialysis can effectively improve the nutritional status and psychological state of patients,and is worthy of clinical promotion.