延续性护理干预对慢性肾功能衰竭血液透析患者负性情绪及自我管理能力的影响

Influence of Continuous Nursing Intervention on Negative Emotion and Self-management Ability of Hemodialysis Patients with Chronic Renal Failure

目的研究分析慢性肾功能衰竭应用血液透析治疗患者采用延续性护理干预后对负面情绪以及自我管理能力的影响。方法2017年10月至2018年10月,本院收治行血液透析治疗的慢性肾功能衰竭患者126例,随机分为两组,两组均给予常规护理,观察组联合应用延续性护理干预,比较分析两组结局。结果两组患者在应用护理前,患者的肾功能(血清肌酐、尿素氮)水平比较,不存在显著差异(P>0.05)。两组患者各自开展护理干预3个月后,观察组的负性情绪评分、自我管理能力评分与肾功能(血清肌酐、尿素氮)水平显著优于对照组,具有显著差异(P<0.05)。治疗护理期间,观察组的不良反应(高血压、低血压、发热、水电解质紊乱、心律失常等)发生率显著少于对照组,具有显著差异(P<0.05)。结论应用延续性护理干预,有助于改善患者的情绪状态,辅助临床治疗,减少不良反应。

Objective To study and analyze the influence of continuous nursing intervention on negative emotions and self-management ability in patients with chronic renal failure treated with hemodialysis.Methods From October 2017 to October 2018,126 patients with chronic renal failure treated with hemodialysis in our hospital were randomly divided into two groups,both groups were given routine nursing,the observation group was combined with continuous nursing intervention,and the results of the two groups were compared and analyzed.Results Before the application of nursing,there was no significant difference in renal function(serum creatinine,urea nitrogen)between the two groups(P>0.05).After 3 months of nursing intervention,the negative emotion score,self-management ability score and renal function(serum creatinine,urea nitrogen)level in the observation group were significantly better than those in the control group,with significant difference(P<0.05).During the treatment and nursing period,the incidence of adverse reactions(hypertension,hypotension,fever,water and electrolyte disturbance,arrhythmia,etc.)in the observation group was significantly lower than that in the control group,with a significant difference(P<0.05).Conclusion Continuous nursing intervention is helpful to improve patients’emotional state,assist clinical treatment and reduce adverse reactions.