护理干预预防血液透析凝血和提高护理满意度的临床观察研究

Clinical Observation on Nursing Intervention to Prevent Hemodialysis Coagulation and Improve Nursing Satisfaction

目的探讨血液透析患者的临床护理方法与效果。方法选择我院2017年7月至2018年7月期间收治的90例行血液透析患者为研究对象,根据入院编号的奇偶数将其分为两组,其中对照组行常规护理,而观察组则运用预见性护理干预,对两组的护理效果进行比较分析。结果干预前,两组的凝血功能指标对比无差异(P>0.05);干预后,观察组的Fbg、PT以及a PTT水平均优于对照组(P<0.05);与对照组相比,观察组的凝血事件发生率低,组间对比差异明显(P<0.05);相比较对照组而言,观察组的护理满意度高,组间比较有统计学意义(P<0.05);同时,在纤溶功能方面,观察组的D-二聚体、Fbg以及t-PA水平分别为(1.23±0.22)mg/L、(2.75±0.25)mg/L、(3.18±1.11)×105 nkat/L,而对照组的D-二聚体、Fbg以及t-PA水平分别为(1.79±0.44)mg/L、(2.22±0.26)mg/L、(2.76±1.03)×105 nkat/L,组间对比差异有统计学意义(P<0.05)。结论临床上在对患者进行血液透析治疗时,通过运用预见性护理干预,一方面可以改善患者的凝血功能,降低不良事件发生率,另一方面还能控制病情进展,使患者的护理满意度提高,具有一定的推广价值。

Objective To explore the clinical nursing methods and effects of hemodialysis patients.Methods 90 hemodialysis patients admitted to our hospital from July 2017 to July 2018 were selected as the research object and divided into two groups according to the odd number of admission number.The control group received routine nursing and the observation group received predictive nursing intervention to compare the nursing effect of the two groups.Results Before intervention,there was no difference in coagulation function between the two groups(P>0.05).After intervention,Fbg,PT and aPTT levels in the observation group were better than those in the control group(P<0.05).Compared with the control group,the incidence of coagulation events in the observation group was low,and the difference between the groups was signifi cant(P<0.05).Compared with the control group,the observation group had a high degree of nursing satisfaction,which was statistically signifi cant(P<0.05).Meanwhile,in terms of fi brinolytic function,d-dimer,Fbg and t-pa levels in the observation group were(1.23±0.22)mg/L,(2.75±0.25)mg/L,(3.18±1.11)×105 nkat/L,respectively,while those in the control group were(1.79±0.44)mg/L,(2.22±0.26)mg/L,(2.76±1.03)×105nkat/L,with statistically signifi cant differences(P<0.05).Conclusion In the clinical hemodialysis treatment of patients,through the use of predictive nursing intervention,on the one hand,can improve the coagulation function of patients,reduce the incidence of adverse events,on the other hand,it can also control the disease progress,so as to improve the nursing satisfaction of patients,has certain promotion value.