针对性联动护理在尿毒症维持性血液透析患者中的应用

Application of targeted linkage nursing in patients with uremia maintenance hemodialysis

目的:观察针对性联动护理在尿毒症维持性血液透析患者中的应用效果。方法:选取72例尿毒症维持性血液透析患者为研究对象,按照随机数字表法分为对照组与研究组各36例。对照组实施常规护理,研究组在对照组基础上实施针对性联动护理,比较两组平均尿素清除指数、并发症发生率、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和简明健康状况量表(SF-36)评分。结果:护理后,研究组平均尿素清除指数和SF-36评分均明显高于对照组,并发症发生率、SAS评分和SDS评分均明显低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用针对性联动护理可提高尿毒症维持性血液透析患者平均尿素清除指数和SF-36评分,以及降低并发症发生率、SAS评分和SDS评分,效果优于单纯常规护理效果。

Objective:To explore application effects of targeted linkage nursing in patients with uremia maintenance hemodialysis.Methods:72 patients with uremia maintenance hemodialysis were selected as the research objects,and were divided into control group and study group according to the random number table method,36 cases in each.The control group was give routine nursing,while the study group used the targeted linkage nursing based on that of the control group.The average urea clearance index,incidence of complications,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score and short form-36 health survey(SF-36)score were compared between the two groups.Results:After the nursing,the average urea clearance index and SF-36 score of the study group were significantly higher than those of the control group;the incidence of complications,SAS score and SDS score were significantly lower than those of the control group;and the differences was statistically significant(P<0.05).Conclusions:For the patients with uremia maintenance hemodialysis,the targeted linkage nursing based on the routine nursing can improve the average urea clearance index and SF-36 score and reduce the incidence of complications,SAS score and SDS score.The effect is better than that of simple routine nursing.Moreover,it is superior to single routine nursing.