无缝隙护理对慢性肾衰竭血液透析患者依从性和并发症的影响

The effect of crevice-free nursing on compliance and complications of hemodialysis patients with chronic renal failure

目的探究无缝隙护理对慢性肾衰竭血液透析患者依从性和并发症的影响。方法选取南华大学附属第二医院2019年6月-2020年6月收治的慢性肾衰竭血液透析患者80例,按照护理方式不同分为对照组(n=40)和观察组(n=40)。其中对照组患者给予常规护理,观察组患者在常规护理的基础上给予无缝隙护理。比较两组患者症状评分、依从性、生活质量和并发症发生情况。结果与对照组躯体化,敌对、强迫、抑郁和焦虑症状评分比较,观察组均显著降低(Р值均<0.05)。与对照组简明健康测量量表(SF-36)各项评分和总评分比较,观察组均显著升高(P值均<0.05)。与对照组依从性(67.50%)比较,观察组(90.00%)显著升高(P<0.05)。与对照组并发症发生率(27.50%)比较,观察组(7.50%)显著降低(P<0.05)。结论无缝隙护理用于慢性肾衰竭血液透析患者可有效改善患者依从性和减少并发症发生率,推荐临床使用。

Objective To investigate the effect of crevice-free nursing on compliance andcomplications of hemodialysis patients with chronic renal failure.Methods 80 patients onhemodialysis with chronic renal failure were treated in the Second Afiliated Hospital of NanhuaUniversity from June 2019 to June 2020 were selected.They were divided into control group(n=40)and observation group(n=40)according to different nursing methods.The control group wasgiven routine nursing and the observation group was given crevice-free nursing on the basis of thecontrol group.The symptom scores,compliance,quality of life and complications were comparedin the two groups.Results Compared with the control group,the symptom scores ofsomatization,hostility,compulsion,depression and anxiety were significantly reduced in theobservation group(all P<0.05).Compared with the SF-36 domain scores and total scores in thecontrol group,those of the observation group increased significantly(all P<0.05).The 90%compliance of the observation group was significantly higher than 67.50%of the control group(P<0.05).The incidence of complications in the observation group was 7.50%,which was significantly lower than 27.50%in the control group.Conclusion The application of crevice-free nursing in hemodialysis patients with chronic renal failure can effectively improve thecompliance and reduce the incidence of complications.It is recommended for clinical use.