人性化服务在血液透析护理工作中的实践与体会(1)
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[摘要] 目的：探讨维持性血液透析患者的护理干预措施，以提高患者的生活质量。方法：回顾性分析我院2006年2月~2010年12月共280例透析患者临床资料，对透析患者常见心理问题、产生的原因、护理经验进行分析。结果：干预前调查结果显示医嘱完全依从的患者最少，仅为37例，占13.21%，部分依从患者最多为109例，占38.93%；干预前服药不依从112例(40.00%)、透析方案不依从103例(36.79%)、液体摄入不依从194例(69.29%)、有氧运动不依从233例(83.21%)、总不依从233例(83.21%)；干预后服药不依从28例(10.0%)、透析方案不依从14例(5.0%)、液体摄入不依从84例(30.0%)、有氧运动不依从56例(20.0%)、总不依从84例(30.0%)(χ2=4.78、4.43、7.42、14.31、7.98，P<0.05、0.05、0.01、0.01、0.01)。干预前血透期间体重增长和透析时间分别为(3.3±1.4)%和(9.7±2.2) h，干预后分别为(5.6±2.4)%和(6.7±3.0) h，干预前后比较差异有统计学意义(P<0.05)；说明良好的护理干预使患者处于接受透析治疗的最佳生理和心理状态，积极主动配合护理工作，获得了较好的透析效果。结论：良好的护理干预可帮助患者学会自我心理疏导，克服消极心理，增强战胜疾病的信心，延长患者生命，提高生活质量。
[关键词] 尿毒症；血液透析；护理干预
[中图分类号] R473.5 [文献标识码] A [文章编号] 1673-7210(2011)07(a)-114-03
Nursing practice and experience of human services in the hemodialysis
HUANG Caihong
Room Hemodialysis, the People's Hospital of Renhua County in Shaoguan City, Guangdong Province, Renhua 512300, China
[Abstract] Objective: To study psychological care measures of patients with hemodialysis, and to improve the quality of life. Methods: A retrospective analysis of our hospital from February 2006 to December 2010 with 280 patients of clinical data in dialysis, common psychological problems, the causes of nursing experience of patients were analyzed. Results: The survey results showed that medical advice before intervention in patients with complete follow at least, only 37 cases, accounting for 13.21%, part of the follow up to 109 cases of patients, accounting for 38.93%; medication non-compliance before the intervention from 112 cases (40.0%), dialysis program non-compliance 103 cases (36.79%), 194 cases of non-compliance fluid intake (69.29%), 233 cases of non-compliance of aerobic exercise (83.21%), total 233 cases of non-compliance (83.21%); medication non-compliance after the intervention in 28 cases (10.0%), non-compliance of dialysis solution from 14 cases (5 ......
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