质量控制在连续性血液净化患者中的护理效果及对治疗依从性的影响

The nursing effect of quality control in patients with continuous blood purification and its influence on treatment compliance

目的探讨质量控制在连续性血液净化患者中的护理效果及对治疗依从性的影响。方法选择2016年4月至2018年10月在该院重症医学科治疗的连续性血液净化患者182例,随机数字表分为对照组(n=91)和观察组(n=91)。对照组给予健康教育、心理指导、入院宣教等传统护理方法,观察组在对照组基础上联合质量控制,护理后1周对二组护理质量、不良事件发生率进行评估,3个月后对患者护理效果进行评估,比较两组患者生活质量及治疗依从性。结果观察组护理后1 w护理操作、基础护理、护理科研及健康教育评分,均高于对照组,差异有统计学意义(均P<0.05);观察组护理后1 w低血压、穿刺部位渗血、导管滑脱、体外循环凝血及配方执行错误率,均低于对照组,差异有统计学意义(均P<0.05)。观察组护理后3个月生理功能、生理智能、躯体疼痛、总体健康、活力、社会功能、情感智能及精神健康评分,均高于对照组,差异有统计学意义(均P<0.05);观察组护理后3个月饮食、治疗、定期检查、用药、功能锻炼依从性均高于对照组,差异有统计学意义(均P<0.05);结论质量控制用于连续性血液净化患者中提高患者护理质量、生活质量及治疗依从性,降低不良事件发生率,值得推广应用。

Objective To explore the nursing effect of quality control in patients with continuous blood purification and its influence on treatment compliance.Methods A total of 182 patients with continuous blood purification who were treated in the department of critical care medicine of this hospital from April 2016 to October 2018 were enrolled.The random number table was divided into control group(n=91)and observation group(n=91).The control group was given health education,psychological guidance,hospital education and other traditional nursing methods,while the observation group was combined with quality control on the basis of the control group.The quality of the two groups of care and the incidence of adverse events were evaluated 1 week after the treatment,and the patients were treated 3 months later.The effect of the care was evaluated and the quality of life and treatment compliance of the two groups were compared.Results The scores of nursing operation,basic nursing,nursing research and health education in the observation group one week after nursing were higher than those in the control group,and the differences were statistically significant(P<0.05).In the observation group,the error rate of hypotension,blood oozing at the puncture site,catheter slippage,extracorporeal circulation coagulation and formula execution at 1 week after nursing were all lower than those in the control group,and the difference was statistically significant(P<0.05).The scores of physiological function,physiological intelligence,physical pain,overall health,vitality,social function,emotional intelligence and mental health in the observation group were all higher than those in the control group 3 months after nursing,and the differences were statistically significant(P<0.05).Three months after nursing,the compliance of diet,treatment,regular examination,medication and functional exercise in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions Quality control is used to improve the quality of care,quality of life and treatment compliance in patients with continuous blood purification,and reduce the incidence of adverse events.It is worthy of popularization and application.