5E康复护理方案改善尿毒症血液透析患者水钠摄取不合理及睡眠状况的研究

The Study of 5E Rehabilitation Nursing Program to Improve the Unreasonable Intake of Water and Sodium and Sleep Status of Uremia Hemodialysis Patients

目的:探讨5E康复护理方案在改善尿毒症血液透析患者水钠摄取不合理及睡眠状况中的应用价值。方法:选取2018年7月至2019年7月蚌埠市第一人民医院收治的尿毒症血液透析患者60例作为研究对象,按照随机密封信封分组法分为对照组和观察组,每组30例。对照组患者全部进行一般护理,观察组患者均在对照组基础上应用5E康复护理方案予以护理干预。评估并比较2组患者干预前、干预后3个月的水钠控制依从性,采用PSQI对2组患者护理干预前后的睡眠质量进行评价。结果:观察组患者护理干预后的水钠控制依从良好率及PSQI总评分均明显优于干预前及同期对照组,差异有统计学意义(P<0.05)。结论:5E康复护理方案能明显改善尿毒症血液透析患者水钠摄取不合理及睡眠状况,其对于提高患者生命质量水平具有重要意义。

Objective:To explore the application value of 5E rehabilitation nursing program in improving the unreasonable intake of water and sodium and sleep status of uremia hemodialysis patients.Methods:A total of 60 uremic hemodialysis patients admitted to our hospital from July 2018 to July 2019 were selected as the research objects,and they were divided into control group and observation group according to random sealed envelope grouping method,with 30 cases in each group.All the patients in the control group were given general nursing care,and the patients in the observation group were given nursing intervention with 5E rehabilitation nursing program on the basis of the control group.The compliance of water and sodium control before and 3 months after the intervention was evaluated and compared between the two groups.PSQI was used to evaluate the sleep quality of the two groups before and after nursing intervention.Results:The Good compliance rate of sodium water control and PSQI total score of the observation group after nursing intervention were significantly better than those before the intervention and the control group at the same period,the difference was statistically significant(P<0.05).Conclusion:5E rehabilitation nursing program can significantly improve the unreasonable intake of water and sodium and sleep status of uremia hemodialysis patients,which is of great significance to improve the quality of life of patients.