人性化护理服务应用于老年动静脉内瘘术后血透护理中的效果分析

Effect of Humanized Nursing Service Applied to Hemodialysis Nursing for the Elderly after Arteriovenous Fistula Operation

目的探究人性化护理服务应用在老年动静脉内瘘术后血透护理中的干预效果。方法选取2018年1月—2023年3月南通市第六人民医院血液净化中心收治的85例动静脉内瘘术后血透治疗的老年患者为研究对象。基于系统盲选法,将其随机分为对照组(常规护理操作,42例)和观察组(人性化护理服务,43例)。对比两组患者的心理、疾病应对方式、生活质量、并发症发生情况以及护理满意度、人性化护理服务。结果护理后,观察组抑郁量表(Hamilton Depression Scale,HAMD)评分和汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评分均优于对照组,差异有统计学意义(P<0.05)。观察组面对疾病的应对评分高于对照组,回避和屈服疾病评分低于对照组,差异有统计学意义(P<0.05)。观察组心理功能、躯体功能、社会功能、物质生活状态评分优于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(4.65%)低于对照组(23.81%),差异有统计学意义(χ^(2)=6.432,P<0.05)。观察组护理满意率高于对照组,差异有统计学意义(P<0.05)。结论老年动静脉内瘘术后血透治疗过程中,积极接受人性化护理服务,可纠正负面心理,积极应对疾病,乐观配合临床治疗,减少并发症的发生,提高护理满意度。

Objective To explore the intervention effect of humanized nursing service in hemodialysis nursing of el-derly patients after arteriovenous fistula.Methods Eighty-five elderly patients receiving hemodialysis treatment after arteriovenous fistula in the Blood Purification Center of the Sixth People's Hospital of Nantong City from January 2018 to March 2023 were selected as the study objects.Based on systematic blind selection,they were randomly divided into control group(routine nursing operation,42 cases)and observation group(humanized nursing service,43 cases).The psychology,coping style,quality of life,occurrence of complications,nursing satisfaction and humanized nursing service of the two groups were compared.Results After nursing,the scores of Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05).The coping scores of the observation group were higher than those of the control group,and the avoidance and yielding scores were lower than those of the control group,and the difference was statistically significant(P<0.05).The scores of psychological function,physical function,social function and material life status of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in observation group(4.65%)was lower than that in control group(23.81%),and the difference was statistically significant(χ^(2)=6.432,P<0.05).The nursing satisfaction rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion In the process of hemodialysis treatment after the operation of arteriovenous fistula,the elderly can actively accept humanistic nursing services,which can correct negative psychology,actively cope with the disease,optimistically cooperate with clinical treatment,reduce the occurrence of complications,and improve nursing satisfaction.