健康教育在血液透析治疗慢性肾功能衰竭护理中的应用及对患者炎症反应发生的影响

Application of health education in the nursing of chronic renal failure treated by hemodialysis and its effect on the occurrence of inflammatory response in patients

目的探讨健康教育在血液透析治疗慢性肾功能衰竭护理中的应用及对患者炎症反应发生的影响。方法选取2017年5月~2018年5月我院收治的血液透析治疗慢性肾功能衰竭患者94例,随机分为两组,对照组进行常规护理,研究组进行健康教育。比较两组患者护理质量、生活质量、脉搏(P)、β2-微球蛋白(β2-MG)、血尿素氮(BUN)指标、抑郁评分(SDS)及焦虑评分(SAS)评分、炎症反应。结果研究组高血压控制率高于对照组,导管留置感染率、高血钾发生率、内瘘堵塞发生率低于对照组,差异有统计学意义(P<0.05);研究组生活质量好于对照组(P<0.05);研究组P、β2-MG、BUN指标低于对照组(P<0.05);研究组SDS及SAS评分均低于对照组(P<0.05);研究组炎症反应低于对照组(P<0.05)。结论对血液透析治疗慢性肾功能衰竭患者,进行健康教育,效果理想,可提高护理质量和生活质量,同时可改善炎性因子与肾功能指标,降低焦虑抑郁评分,有利于患者病情缓解。因此,应在血液透析治疗慢性肾功能衰竭患者护理中,进一步推广和应用健康教育。

Objective To explore the application of health education in the nursing of chronic renal failure treated by hemodialysis and its effect on the occurrence of inflammatory response in patients.Methods 94 patients who underwent hemodialysis for chronic renal failure admitted to our hospital from May 2017 to May 2018 were selected and randomly divided into two groups.The control group received conventional nursing and the study group received health education.The quality of nursing,quality of life,pulse(P),β2-microglobulin(β2-MG),blood urea nitrogen(BUN)indicator,Self-rating Depression Scale(SDS)score,Self-rating Anxiety Scale(SAS)score and inflammatory response were compared between the two groups.Results The control rate of hypertension in the study group was higher than that in the control group.The incidence of catheter indwelling infection,hyperkalemia and internal fistula occlusion in the study group was lower than that in the control group,and there was a significant difference between the two groups(P<0.05).The quality of life in the study group was better than that in the control group(P<0.05).The P,β2-MG and BUN indicator of study group were lower than those of the control group(P<0.05).The SDS and SAS scores of the study group were lower than those of the control group(P<0.05).The inflammatory response of the study group was lower than that of the control group(P<0.05).Conclusion For patients with chronic renal failure treated by hemodialysis,Health education shows desirable effects,which can enhance the quality of nursing and quality of life,improve inflammatory factors and renal function indicators,reduce anxiety and depression scores,and help patients to ease their conditions.Therefore,health education should be further promoted and applied in the nursing of patients with chronic renal failure treated by hemodialysis.