综合护理干预对尿毒症进行血液透析患者护理效果及并发症预防的效果观察

Nursing Effect and Complications Prevention Observation of ComprehensiveNursing Intervention on Hemodialysis Patients with Uremia

目的 探讨综合护理干预对尿毒症进行血液透析患者护理效果及并发症预防的效果观察。方法 将2010年2月-2020年7月在本院血液透析中心进行血液透析治疗的420例尿毒症患者随机分对照组和观察组,各210例,对照组使用常规护理,观察组使用综合护理干预,对比心理及生活质量、并发症、护理依从性及护理满意率。结果 观察组护理后SAS和SDS评分明显低于对照组,SF-36评分、护理依从性及护理满意率明显高于对照组(P<0.05);观察组高血压、低血压、感染、高血钾、心力衰竭等并发症发生率明显低于对照组(P<0.05)。结论 综合护理干预对尿毒症进行血液透析患者护理效果显著,能有效调整心理状态,减少并发症,提高护理依从性、护理满意率,具有积极的临床意义。

Objective To explore nursing effect and complications prevention of comprehensive nursing intervention on hemodialysis patients with uremia.Methods The paper chose 420 cases uremia patients with hemodialysis treatment in hemodialysis center of our hospital from February 2010 to July 2020,and divided them into control group and observation group randomly,with 210 cases in each group.Control group was treated with routine nursing,while observation group with comprehensive nursing intervention.Psychological status and life quality,complications,nursing compliance and nursing satisfaction degree was compared between two groups.Results SAS and SDS scores of observation group after nursing were significantly lower than control group,while SF-36 scores,nursing compliance and nursing satisfaction degree were significantly higher than control group(P<0.05);complications incidence including hypertension,hypotension,infection,hyperkalemia and heart failure in observation group was significantly lower than control group(P<0.05).Conclusion Comprehensive nursing intervention can achieve significant effect on hemodialysis patients with uremia,can adjust psychological status,reduce complications,improve nursing compliance and nursing satisfaction degree effectively,which has positive clinical significance.