优质血液净化护理模式对尿毒症患者生活质量的影响

The Impact of High-Quality Blood Purification Nursing Model on the Quality of Life of Uremic Patients

目的探究在尿毒症患者护理中,实行优质血液净化护理模式的效果,以及对其生活质量的影响。方法抽取我院收治的尿毒症患者80例,样本抽取时间为2022年5月至2023年5月,以上患者均接受血液净化治疗,并根据随机数字表法予以分组。接受常规血液净化护理干预的研究对象为对照组(n=40),接受优质血液净化护理干预的研究对象为观察组(n=40)。对比指标:不良情绪评分、临床指标情况、不良反应发生情况、躯体化症状评分、生活质量评分。结果①两组研究对象在实施护理干预前的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分对比差异均不明显(P>0.05);干预后观察组研究对象两份量表评分均比对照组低(P<0.05)。②观察组研究对象临床指标中导管感染率低于对照组,其余各项指标(正确用药率、血压控制效果满意率、透析充分性达标率及营养状况满意率)均高于对照组(P<0.05)。③观察组研究对象不良反应发生率低于对照组(P<0.05)。④两组研究对象在实施护理干预前的躯体化症状自评量表(SSS)中各维度评分对比差异不大(P>0.05);干预后,观察组研究对象SSS量表中疼痛症状、非疼痛症状及总分和对照组相比均较低,数据对比有统计学差异(P<0.05)。⑤两组研究对象在实施护理干预前的SF-36量表中各维度评分对比无统计学意义(P>0.05);干预后,观察组研究对象SF-36量表中身体状况、情感状况、家庭状况、社会功能及总分均比对照组高(P<0.05)。结论对尿毒症患者实施优质血液净化护理可显著改善患者的不良情绪、临床指标、临床症状及生活质量,且可降低不良反应发生率。

Objective To explore the effectiveness of implementing a high-quality blood purification nursing model in the care of uremic patients and its impact on their quality of life.Methods Eighty patients with uremia admitted to our hospital were selected from May 2022 to May 2023.All patients received blood purification treatment and were randomly divided into two groups.The control group received routine blood purification nursing intervention(n=40),while the observation group received high-quality blood purification nursing intervention(n=40).Comparative indicators:Adverse emotion score,clinical indicators,incidence of adverse reactions,somatization symptom score,and quality of life score.Results(1)There was no significant difference in the scores of the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)between the two groups of study subjects before implementing nursing interventions(P>0.05);After intervention,the observation group had lower scores on both scales compared to the control group(P<0.05);(2)The clinical indicators of the study subjects in the observation group showed a lower incidence of catheter-related bloodstream infection compared to the control group,while the other indicators(correct medication rate,satisfaction rate of blood pressure control effect,satisfaction rate of dialysis adequacy,and satisfaction rate of nutritional status)were higher than those in the control group(P<0.05);(3)The incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05);(4)There was no significant difference in the scores of the somatization symptom self-assessment scale(SSS)between the two groups of study subjects before implementing nursing intervention,and there was no statistical value(P>0.05);After intervention,the pain symptoms,non pain symptoms,and total scores of the SSS scale in the observation group were lower than those in the control group,and there was statistically significant difference in data comparison(P<0.05);(5)The comparison of scores in each dimension of the SF-36 scale between the two groups of study subjects before implementing nursing intervention showed no statistical value(P>0.05);After intervention,the physical condition,emotional status,family status,social function,and total score of the SF-36 scale in the observation group were higher than those in the control group(P<0.05).Conclusions Implementing high-quality blood purification nursing for uremic patients can significantly improve their negative emotions,clinical indicators,clinical symptoms,and quality of life,and reduce the incidence of adverse reactions.