精细化护理干预改善维持性血液透析患者负性情绪、生活质量的效果(1)
[摘要] 目的 分析精细化护理干预改善维持性血液透析患者负性情绪、生活质量的效果。方法 方便选择该院于2018年6月—2019年7月接收的来该院进行维持性血液透析患者为研究对象，筛选出符合标准的66例按照随机综合序贯法分组，33例对照组行常规护理，33例观察组行精细化护理干预，评价对比两组的负性情绪、生活质量以及不良反应发生率。结果 相比护理前，护理后两组患者的负性情绪分值明显下降，护理前后数据对比(P<0.05)，护理后观察组患者的焦虑情绪和抑郁情绪分值远低于对照组(t=14.303、9.403，P<0.05);观察组患者的生活质量评分明显比对照组高，其不良反应发生率(6.06%)低于对照组(24.24%)(χ2=4.243，P<0.05)。结论 临床针对维持性血液透析患者采取精细化护理干预不仅能改善患者的负性情绪，还能提升其生活质量，具有积极显著的临床护理价值。
[关键词] 精细化护理;维持性血液透析;负性情绪;生活质量
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2020)06(b)-0175-03
[Abstract] Objective To analyze the effect of refined nursing intervention to improve negative emotions and quality of life of maintenance hemodialysis patients. Methods Convenient selected the patients who received the hospital for maintenance hemodialysis from June 2018 to July 2019 as the subject of the investigation， and selected 66 cases that met the criteria and grouped them according to the random comprehensive sequential method， 33 controls Routine nursing was performed， and 33 cases of observation group underwent elaborate nursing intervention to evaluate and compare the negative emotions， quality of life and incidence of adverse reactions between the two groups. Results Compared with before nursing， the negative emotion scores of the two groups of patients decreased significantly after nursing. The comparison of data before and after nursing was(P<0.05). The scores of anxiety and depression in the observation group after nursing were much lower than those in the control group(t= 14.303，9.403，P<0.05); the quality of life score of the observation group was significantly higher than that of the control group， and the incidence of adverse reactions (6.06%) was lower than that of the control group (24.24%). The result was(χ2=4.243，P<0.05). Conclusion It is not only can improve the patient's negative emotions， but also improve the quality of life， and it has positive and significant clinical nursing value.
[Key words] Refined care; Maintenance hemodialysis; Negative emotions; Quality of life
隨着人们生活方式和饮食习惯的改变，慢性肾脏疾病的发病率不断提升，对人们的生活和健康造成极大危害。临床医学中有关晚期肾脏疾病的治疗方法主要有肾脏移植或维持性血液透析治疗，其中维持性血液透析治疗是首要治疗措施，此方法能延长患者的生命周期，缓解疾病恶化速度。但是长时间血液透析的费用高，患者还深受疾病的折磨，对其心理状态和生活造成极大干扰。为了提高患者治疗中的积极性和舒适度，有研究发现[1]，给予患者科学、有效的护理干预具有积极效果。鉴于此，该研究将重点针对该院于2018年6月—2019年7月收治的维持性血液透析患者为研究目标，分析精细化护理干预的效果及临床价值，现报道如下。
1 资料与方法
1.1 一般资料
抽选在该院接受维持性血液透析治疗的患者为研究对象，依据随机综合序贯法为分组原则，观察组33例，男性19例，女性14例;年龄57～78岁，平均(68.22±3.45)岁;病程6个月～5年，平均(2.32±0.38)年，原发疾病：慢性肾小球肾炎11例，糖尿病肾病8例;多囊肾3例，高血压肾病9例，其他2例。对照组33例，男性18例，女性15例;年龄58～80岁，平均(69.44±3.68)岁;病程7个月～6年，平均(2.48±0.41)年;原发疾病：慢性肾小球肾炎10例，糖尿病肾病7例，多囊肾4例，高血压肾病8例，其他4例。以上基线资料对比，差异无统计学意义(P>0.05)，结果不影响研究的公正性。, http://www.100md.com(刘纪梅)
[关键词] 精细化护理;维持性血液透析;负性情绪;生活质量
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2020)06(b)-0175-03
[Abstract] Objective To analyze the effect of refined nursing intervention to improve negative emotions and quality of life of maintenance hemodialysis patients. Methods Convenient selected the patients who received the hospital for maintenance hemodialysis from June 2018 to July 2019 as the subject of the investigation， and selected 66 cases that met the criteria and grouped them according to the random comprehensive sequential method， 33 controls Routine nursing was performed， and 33 cases of observation group underwent elaborate nursing intervention to evaluate and compare the negative emotions， quality of life and incidence of adverse reactions between the two groups. Results Compared with before nursing， the negative emotion scores of the two groups of patients decreased significantly after nursing. The comparison of data before and after nursing was(P<0.05). The scores of anxiety and depression in the observation group after nursing were much lower than those in the control group(t= 14.303，9.403，P<0.05); the quality of life score of the observation group was significantly higher than that of the control group， and the incidence of adverse reactions (6.06%) was lower than that of the control group (24.24%). The result was(χ2=4.243，P<0.05). Conclusion It is not only can improve the patient's negative emotions， but also improve the quality of life， and it has positive and significant clinical nursing value.
[Key words] Refined care; Maintenance hemodialysis; Negative emotions; Quality of life
隨着人们生活方式和饮食习惯的改变，慢性肾脏疾病的发病率不断提升，对人们的生活和健康造成极大危害。临床医学中有关晚期肾脏疾病的治疗方法主要有肾脏移植或维持性血液透析治疗，其中维持性血液透析治疗是首要治疗措施，此方法能延长患者的生命周期，缓解疾病恶化速度。但是长时间血液透析的费用高，患者还深受疾病的折磨，对其心理状态和生活造成极大干扰。为了提高患者治疗中的积极性和舒适度，有研究发现[1]，给予患者科学、有效的护理干预具有积极效果。鉴于此，该研究将重点针对该院于2018年6月—2019年7月收治的维持性血液透析患者为研究目标，分析精细化护理干预的效果及临床价值，现报道如下。
1 资料与方法
1.1 一般资料
抽选在该院接受维持性血液透析治疗的患者为研究对象，依据随机综合序贯法为分组原则，观察组33例，男性19例，女性14例;年龄57～78岁，平均(68.22±3.45)岁;病程6个月～5年，平均(2.32±0.38)年，原发疾病：慢性肾小球肾炎11例，糖尿病肾病8例;多囊肾3例，高血压肾病9例，其他2例。对照组33例，男性18例，女性15例;年龄58～80岁，平均(69.44±3.68)岁;病程7个月～6年，平均(2.48±0.41)年;原发疾病：慢性肾小球肾炎10例，糖尿病肾病7例，多囊肾4例，高血压肾病8例，其他4例。以上基线资料对比，差异无统计学意义(P>0.05)，结果不影响研究的公正性。, http://www.100md.com(刘纪梅)