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

Study on 5E Rehabilitation Nursing Program to Improve the Irrational Water and Sodium Intake and Sleep Status of Uremic Hemodialysis Patients

目的研究5E康复护理方案对尿毒症血液透析患者水钠摄取不合理及睡眠状况的影响。方法选取2018年3月~2019年3月在我院诊治的70例尿毒症血液透析患者,随机分为对照组和观察组,各35例。对照组采用常规护理,观察组在对照组基础上采用5E康复护理方案干预,比较两组干预前后睡眠质量、水钠摄取行为控制依从率及希望水平评分。结果干预后两组睡眠质量评分低于干预前,且观察组低于对照组(P<0.05);干预后两组水钠摄取行为控制依从率及希望水平各维度评分均高于干预前,且观察组高于对照组(P<0.05)。结论5E康复护理方案可改善尿毒症血液透析患者水钠摄取依从性,提高患者睡眠质量和希望水平,值得应用。

Objective To study the effect of 5E rehabilitation nursing program on the irrational intake of water and sodium and the sleep status of uremic hemodialysis patients.Methods 70 patients with uremic hemodialysis who were diagnosed and treated in our hospital from March 2018 to March 2019 were selected,and were divided into the control group and the observation group,with 35 cases in each.The control group was treated with routine nursing care,and the observation group was treated with 5E rehabilitation nursing plan on the basis of the control group.The two groups were compared before and after the intervention in sleep quality,water and sodium intake behavior control compliance rate and hope level score.Results After intervention,the sleep quality scores of the two groups were lower than those before intervention,and the observation group was lower than the control group(P<0.05);the compliance rate of water and sodium intake behavior in the two groups after intervention was higher than that before intervention,and the observation group was higher than that in the control group(P<0.05).Conclusion 5E rehabilitation nursing program can improve the compliance of water and sodium intake,improve the sleep quality and hope level of patients with uremia hemodialysis,it is worth applying.