个体化护理干预对终末期肾病血液透析患者的效果分析

Analysis on the Effect of Individualized Nursing Intervention for Hemodialysis Patients with End-Stage Renal Disease

目的探讨个体化护理干预对终末期肾病血液透析患者的临床效果。方法选择2018年7月至2020年6月我院收治的74例终末期肾病患者,均留置中心静脉导管,行维持性血液透析治疗,随机将其分为试验组(37例,常规护理干预+个体化护理干预)和对照组(37例,常规护理干预)。比较两组患者干预前后的HADS、KDQOL-SFTM 1.2评分,统计两组的导管留置时间及置管相关并发症发生率。结果干预后,试验组的HADS、KDQOL-SFTM 1.2评分均优于对照组,导管留置时间长于对照组,置管相关并发症发生率低于对照组(P<0.05)。结论个体化护理干预可更好地改善终末期肾病血液透析患者的负性情绪,提高患者的生存质量,减少置管相关并发症,延长管路使用时间。

Objective To explore the clinical effect of individualized nursing intervention for hemodialysis patients with end-stage renal disease.Methods 74 patients with end-stage renal disease admitted to our hospital from July 2018 to June 2020 were selected,and given central venous catheter indwelling and maintenance hemodialysis.They were randomly divided into experimental group(37 cases,routine nursing intervention+individualized nursing intervention)and control group(37 cases,routine nursing intervention).The HADS and KDQOL-SFTM 1.2 scores before and after intervention were compared between the two groups,and the catheter indwelling time and incidence of catheter-related complications of the two groups were counted.Results After intervention,the HADS and KDQOL-SFTM 1.2 scores of the experimental group were better than those of the control group,the catheter indwelling time was longer than that of the control group,and the incidence of catheter-related complications was lower than that of the control group(P<0.05).Conclusions Individualized nursing intervention can better improve the negative emotions of hemodialysis patients with end-stage renal disease,improve the quality of life,reduce the catheter-related complications,and prolong the tube use time.