精细化护理联合连续性病情跟踪对尿毒症患者生活质量的影响

Effect of fine nursing combined with continuous illness tracking on quality of life of uremia patients

目的探讨精细化护理联合连续性病情跟踪对尿毒症患者生活质量的影响。方法选取我院收治的168例尿毒症患者作为研究对象,按照护理方式将其分为观察组(84例,精细化护理联合连续性病情跟踪)和对照组(84例,常规护理)。比较两组患者的生存质量、自我护理能力、心理状态及并发症发生情况。结果出院前,两组的生存质量各项评分均高于护理前,且观察组明显高于对照组(P<0.05);出院6周后,观察组的生存质量各项评分均高于对照组(P<0.05)。出院第3、6周,观察组的自我护理能力评分明显高于对照组(P<0.05)。出院前及出院6周后,观察组的HAMD、HAMA评分明显低于对照组(P<0.05)。观察组的并发症总发生率明显低于对照组(P<0.05)。结论精细化护理联合连续性病情跟踪能有效提高尿毒症患者的生存质量,改善其不良情绪,提高自我护理能力,降低不良反应发生率。

Objective To explore the effect of fine nursing combined with continuous illness tracking on quality of life of uremia patients.Methods A total of 168 patients with uremia admitted in our hospital were selected as the research objects,and the patients were divided into observation group(84 cases,fine nursing combined with continuous illness tracking)and control group(84 cases,routine nursing)according to the nursing methods.The quality of life,self-care ability,mental state and complications of the two groups were compared.Results Before discharge,the quality of life scores of the two groups were higher than those before nursing,and those in the observation group were significantly higher than the control group(P<0.05);at 6 week after discharge,the quality of life scores in the observation group were higher than those in the control group(P<0.05).At the 3rd and 6th week after discharge,the self-care ability score in the observation group were significantly higher than those in the control group(P<0.05).Before discharge and 6th week after discharge,the HAMD and HAMA scores in the observation group were significantly lower than those in the control group(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The fine nursing combined with continuous illness tracking can effectively improve the quality of life,bad mood and self-care ability,and reduce the incidence of adverse reactions of patients with uremia.