针对性护理在慢性肾功能衰竭血液透析患者中的应用效果

The Application Effect of Targeted Nursing in Hemodialysis Patients with Chronic Renal Failure

目的:分析针对性护理在慢性肾功能衰竭血液透析患者中的应用效果。方法:选取2022年1月—2023年1月于巨野县人民医院进行血液透析的慢性肾功能衰竭患者68例为研究对象,随机分为对照组和观察组,各34例。对照组进行常规护理,观察组进行针对性护理。比较两组干预前后负性情绪、生活质量及肾功能指标。结果:干预前,两组焦虑自评量表(SAS)与抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,两组SAS、SDS评分降低,观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组躯体效能、物质生活、心理功能、社会功能评分比较,差异无统计学意义(P>0.05);干预后,两组躯体效能、物质生活、心理功能、社会功能评分升高,观察组高于对照组,差异有统计学意义(P<0.05)。干预前,两组血尿素氮、血肌酐水平比较,差异无统计学意义(P>0.05);干预后,两组血尿素氮、血肌酐水平降低,观察组低于对照组,差异有统计学意义(P<0.05)。结论:针对性护理能够改善慢性肾功能衰竭血液透析患者的肾功能指标,缓解负性情绪,提高生活质量。

Objective:To analyze the application effect of targeted nursing in hemodialysis patients with chronic renal failure.Methods:Sixty-eight patients with chronic renal failure who underwent hemodialysis in Juye County People's Hospital from Janu-ary 2022 to January 2023 were selected for the study,and were randomly divided into the control group and the observation group,each with thirty-four cases.The control group carried out routine nursing,and the observation group carried out targeted nursing.Negative emotions,quality of life and renal function indexes were compared between the two groups before and after the interven-tion.Results:Before intervention,the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were com-pared between the two groups,and the difference was not statistically significant(P>0.05);after intervention,the scores of SAS and SDS were reduced in the two groups,and the observation group was lower than the control group,and the difference was statis-tically significant(P<0.05).Before intervention,the scores of somatic efficacy,material life,psychological function,and social function of the two groups were compared,and the difference was not statistically significant(P>0.05);after intervention,the scores of somatic efficacy,material life,psychological function,and social function of the two groups were elevated,and the obser-vation group was higher than the control group,and the difference was statistically significant(P<0.05).Before intervention,blood urea nitrogen and blood creatinine levels of the two groups were compared,and the difference was not statistically significant(P>0.05);after intervention,blood urea nitrogen and blood creatinine levels of the two groups were reduced,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion:Targeted nursing can improve the renal function indexes of hemodialysis patients with chronic renal failure,alleviate negative emotions,and improve the quality of life.