慢性肾功能衰竭患者血液透析治疗进行优质护理的价值探析

Analysis on the Value of High-quality Nursing in Hemodialysis Treatment of Patients with Chronic Renal Failure

目的 研讨慢性肾功能衰竭患者血液透析治疗进行优质护理的价值。方法 选择我院收治于2019年5月至2019年12月的62例慢性肾功能衰竭患者作为观察对象,纳入患者均由临床系统检查确诊,对此次课题研究知情同意;排除存在精神或沟通障碍等问题者。按1∶1比例随机纳入两组,常规护理组(n=31)接受常规护理指导,即常规做好透析过程的巡视和口头教育工作。优质护理组(n=31)接受优质护理,采取自制的护理问卷对两组的护理满意情况进行调查和统计。同时以汉密尔顿系列的焦虑和抑郁问卷(HAMD、HAMA评分)为参照,评估两组护理后的焦虑、抑郁情绪改善状况,分值越低,说明患者的焦虑与抑郁情绪越轻。采用SPSS24.0软件分析数据,P <0.05,说明数据间差异值较大,有统计学意义。结果 与常规护理组相比,优质护理组护理后的HAMD、HAMA评分更低,P <0.05,有统计学意义。经问卷调查统计,优质护理组患者总满意度为100.00%,较常规护理组患者总满意度(77.42%)更高,P <0.05,有统计学意义。结论 对慢性肾功能衰竭患者开展心理护理干预,能够明显减轻患者的不良心理,进一步获得患者对护理工作的认可与支持,值得推荐。

Objective To study the value of high-quality nursing in hemodialysis treatment of patients with chronic renal failure.Methods Sixtytwo patients with chronic renal failure treated in our hospital from May 2019 to December 2019 were selected as the observation objects.All the included patients were diagnosed by clinical system examination and informed consent to the study;Exclude those with mental or communication problems.The routine nursing group(n=31)received routine nursing guidance,the routine nursing group was given routine nursing guidance,and routine patrol and oral education in the dialysis process were carried out.The high-quality nursing group(n=31)received high-quality nursing.A self-made nursing questionnaire was used to investigate and count the nursing satisfaction of the two groups.At the same time,the improvement of anxiety and depression in the two groups after nursing was evaluated with Hamilton series anxiety and depression questionnaire(HAMD and HAMA score).The lower the score,the lighter the anxiety and depression.SPSS24.0 software processing,P<0.05,indicating that the difference between the data is large and statistically significant.Results The HAMD and HAMA score in the high-quality nursing group was lower than that of the routine greup(P<0.05).According to the questionnaire survey,the total satisfaction of patients in the high-quality nursing group was 100.00%,which was significantly higher than 77.42%in the routine nursing group(P<0.05).Conclusion Psychological nursing intervention for patients with chronic renal failure can significantly reduce the adverse psychology of patients and further obtain the recognition and support of patients for nursing work,which is worthy of recommendation.