论护理人文关怀在糖尿病肾病血液透析患者中的运用

Discussion on the Application of Nursing Humanistic Care in Patients with Diabetic Nephropathy on Hemodialysis

目的分析在糖尿病肾病患者开展血液透析过程中运用人文关怀护理的综合成效。方法选择2019年10月—2020年10月于该院开展血液透析治疗的114例糖尿病肾病患者,将其随机分成观察组和对照组,各57例。对照组开展常规护理,观察组开展人文关怀护理,比较两组患者护理满意度、不良情绪评分、血液透析不良事件发生率。结果观察组患者的护理满意度(96.49%)高于对照组(75.44%),两组比较差异有统计学意义(P<0.05)。观察组患者的焦虑自评量表(SAS)评分(34.82±2.21)分低于对照组(48.84±4.23)分,两组比较差异有统计学意义(t=6.464,P<0.05)。观察组患者的抑郁自评量表(SDS)评分(36.34±4.52)分低于对照组(50.84±4.24)分,两组比较差异有统计学意义(t=7.487,P<0.05)。观察组患者血液透析不良事件的发生率(3.51%)低于对照组(17.54%),两组比较差异有统计学意义(χ2=5.961,P<0.05)。结论在糖尿病肾病患者开展血液透析过程中运用人文关怀护理,拥有明显的成效,能够减少血液透析不良事件,减轻患者不良情绪以及提升患者的护理满意度,值得广泛推广以及使用。

Objective To analyze the comprehensive effects of humanistic care in the process of hemodialysis in patients with diabetic nephropathy.Methods 114 patients with diabetic nephropathy who were undergoing hemodialysis treatment in the hospital from October 2019 to October 2020 were selected,and they were randomly divided into observation group and control group,with 57 cases in each group.The control group carried out routine nursing,and the observation group carried out humanistic care nursing.Compared the two groups of patients'nursing satisfaction,bad mood score,and incidence of adverse events of hemodialysis.Results The nursing satisfaction of patients in the observation group(96.49%)was higher than that of the control group(75.44%),and the difference between the two groups was statistically significant(P<0.05).The SAS score(34.82±2.21)points of the observation group was lower than that of the control group(48.84±4.23)points,and the difference between the two groups was statistically significant(t=6.464,P<0.05).The SDS score(36.34±4.52)points of the observation group was lower than that of the control group(50.84±4.24)points,and the difference between the two groups was statistically significant(t=7.487,P<0.05).The incidence of hemodialysis adverse events in the observation group(3.51%)was lower than that in the control group(17.54%),and the difference between the two groups was statistically significant(χ2=5.961,P<0.05).Conclusion The use of humanistic care in the process of hemodialysis patients with diabetic nephropathy has obvious results and can reduce adverse events of hemodialysis.It is worthy of widespread promotion and use to alleviate the patients'bad mood and improve the patient's nursing satisfaction.