全面控制护理对行血液透析治疗终末期肾病患者临床预后及营养情况的效果

Effect of total controlled nursing on clinical prognosis and nutritional sta-tus of patients with end-stage renal disease undergoing hemodialysis

目的探究全面控制护理对行血液透析治疗的终末期肾病患者临床预后及营养情况的效果。方法自南京医科大学第一附属医院2018年1月至2020年12月抽取80例终末期肾病患者作为研究对象,按照随机数字表法来设置对照组和观察组,各40例。对照组采取常规护理,观察组应用全面控制护理。分析两组干预前后不良情绪表现、生活质量评分护理依从性及营养指标。结果干预后,两组血清总蛋白、白蛋白、血红蛋白水平高于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组焦虑、抑郁评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组依从性、生活质量评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论面对终末期肾病患者来分析,采用全面性控制护理措施,可在有效改善患者生活质量的同时,降低患者不良情绪,改善护理依从性,同时增强患者的营养表现,值得各个科室借鉴采纳。

Objective To explore the effect of comprehensive control nursing on the clinical prognosis and nutritional status of patients with end-stage renal disease undergoing hemodialysis.Methods Eighty patients with end-stage renal disease in the First Affiliated Hospital of Nanjing Medical University from January 2018 to December 2020 were selected as the subjects of this study.Control group and observation group were set up according to random number method,with 40 cases in each group.The control group received routine nursing,and the observation group received comprehensive control nursing.The adverse mood performance,quality of life score,nursing compliance,and nutritional indexes before and after nursing were analyzed.Results After intervention,serum total protein,albumin,and hemoglobin levels in both groups were higher than before intervention,while those of observation group were lower than those of control group,and the differences were statistically significant(P<0.05).After intervention,anxiety and depression scores of the two groups were lower than before intervention,while those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of compliance and quality of life in two groups were lower than before intervention,while those of the observation group were lower than those of control group,and the differences were statistically significant(P<0.05).Conclusion In the face of end-stage renal disease patients to analyze,the use of comprehensive control nursing measures can effectively improve the quality of life of patients at the same time,reduce patients’bad mood,improve nursing compliance,and enhance the nutritional performance of patients,it is worth each department to adopt for reference.