优质护理对尿毒症血液透析患者心理状态及护理满意度的影响

Effects of high quality nursing on the psychological state and nursing satisfaction of uremia patients undergoing hemodialysis

目的探究优质护理对尿毒症血液透析患者心理状态及护理满意度的影响。方法选取2017年1月至2020年1月收治的100例尿毒症血液透析患者作为研究对象,采用分段随机化法将其分为试验组(50例,优质护理干预)和对照组(50例,常规护理干预)。比较两组的心理状态、生化指标水平、护理满意度及并发症发生情况。结果干预后,试验组的SAS、SDS评分均低于对照组(P<0.05)。干预后,试验组的血钙、白蛋白、血红蛋白水平均高于对照组,血磷、血钠、血钾、尿素氮、血肌酐水平均低于对照组(P<0.05)。试验组护理满意度高于对照组(P<0.05)。试验组并发症总发生率低于对照组(P<0.05)。结论尿毒症血液透析患者接受优质护理能够促进患者心理状态、生化指标水平的改善,提高患者的护理满意度,且可控制并发症的发生,值得临床推广和应用。

Objective To explore the effects of high quality nursing on the psychological state and nursing satisfaction of uremia patients undergoing hemodialysis.Methods A total of 100 uremia patients undergoing hemodialysis admitted from January 2017 to January 2020 were selected as the research objects and divided into experimental group(50 cases,high quality nursing intervention)and control group(50 cases,routine nursing intervention)by subsection randomization method.The psychological state,biochemical index levels,nursing satisfaction and complications of the two groups were compared.Results After intervention,the SAS and SDS scores in the experimental group were lower than those in the control group(P<0.05).After intervention,the levels of serum calcium,albumin and hemoglobin in the experimental group were higher than those in the control group,and the levels of serum phosphorus,sodium,potassium,urea nitrogen and creatinine were lower than those in the control group(P<0.05).The nursing satisfaction in the experimental group was higher than that in the control group(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion High quality nursing for uremia patients undergoing hemodialysis can promote the improvement of psychological state and biochemical index levels,improve nursing satisfaction,and control the occurrence of complications,which is worthy of clinical promotion and application.