综合护理在肾脏病合并冠心病患者PCI术后实施血液透析中的应用效果(1)
[摘要]目的 探讨综合护理在肾脏病合并冠心病患者经皮冠状动脉介入(PCI)术后实施血液透析中的应用效果。 方法 选取2016年2月～2017年2月在我院收治肾脏病合并冠心病患者104例，采用随机数字表法将其分为研究组(综合护理)与对照组(常规护理)，每组52例。所有患者均在入院后实施对症处理，择期行PCI术，病情好转后行血液透析。按照随机原则分为。对比两组的护理效果。结果 干预后，研究组的生活质量评分(SF-36)优于对照组，差异有统计学意义(P<0.05)；研究组的症状自评量表(SCL-90)评分优于对照组，差异有统计学意义(P<0.05)；研究组的并发症总发生率低于对照组，且无一例合并两种或以上并发症，差异有统计学意义(P<0.05)。结论 肾脏病合并冠心病患者PCI术后血液透析中辅以综合护理的效果更为理想。
[关键词]肾脏病；冠心病；经皮冠状动脉介入；血液透析；综合护理
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2018)3(a)-0169-03
The application effect of comprehensive nursing in hemodialysis after PCI in patients with renal disease combined with coronary heart disease
LI Ying-dan
Department of Blood Purification，the Fifth People′s Hospital of Fuxin City in Liaoning Province，Fuxin 123002，China
[Abstract]Objective To explore the effect of comprehensive nursing in hemodialysis after percutaneous coronary intervention (PCI) in patients with renal disease combined with coronary heart disease.Methods One hundred and four patients with kidney disease and coronary heart disease admitted to our hospital from February 2016 to February 2017 were randomly divided into study group (comprehensive nursing) and control group (conventional nursing)，52 cases in each group.All patients underwent symptomatic treatment after admission，selective PCI and hemodialysis after improvement.According to the principle of random.The nursing effect of the two groups was compared.Results After intervention，the quality of life score (SF-36) of the study group was better than that of the control group，the difference was statistically significant (P<0.05).The score of symptom checklist 90 (SCL-90) in the study group was better than that in the control group (P<0.05).The total incidence of complications in the study group was lower than that in the control group，and there was no one case with two or more complications，the difference was statistically significant (P<0.05).Conclusion The effect of comprehensive nursing in hemodialysis after PCI in patients with renal disease combined with coronary heart disease is more ideal.
[Key words]Kidney disease；Coronary heart disease；Percutaneous coronary intervention；Hemodialysis；Comprehensive nursing care
慢性腎脏病在临床上较为常见，多采用血液透析治疗，能延长生存时间，提升生活质量[1]。慢性肾脏病会致使机体出现相关体液及病理改变，极易诱发动脉粥样硬化，导致合并冠心病[2]。经皮冠状动脉介入(percutaneous coronary intervention，PCI)是常用的治疗冠心病的方法，具有创伤小、恢复快等特点[3]。而慢性肾脏病合并冠心病患者的治疗及护理难度较大，引起人们高度关注。本研究旨在深入探讨综合护理在肾脏病并冠心病患者PCI术后血液透析中的应用效果，现报道如下。
1 资料与方法
1.1 一般资料, http://www.100md.com(李颖丹)
[关键词]肾脏病；冠心病；经皮冠状动脉介入；血液透析；综合护理
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2018)3(a)-0169-03
The application effect of comprehensive nursing in hemodialysis after PCI in patients with renal disease combined with coronary heart disease
LI Ying-dan
Department of Blood Purification，the Fifth People′s Hospital of Fuxin City in Liaoning Province，Fuxin 123002，China
[Abstract]Objective To explore the effect of comprehensive nursing in hemodialysis after percutaneous coronary intervention (PCI) in patients with renal disease combined with coronary heart disease.Methods One hundred and four patients with kidney disease and coronary heart disease admitted to our hospital from February 2016 to February 2017 were randomly divided into study group (comprehensive nursing) and control group (conventional nursing)，52 cases in each group.All patients underwent symptomatic treatment after admission，selective PCI and hemodialysis after improvement.According to the principle of random.The nursing effect of the two groups was compared.Results After intervention，the quality of life score (SF-36) of the study group was better than that of the control group，the difference was statistically significant (P<0.05).The score of symptom checklist 90 (SCL-90) in the study group was better than that in the control group (P<0.05).The total incidence of complications in the study group was lower than that in the control group，and there was no one case with two or more complications，the difference was statistically significant (P<0.05).Conclusion The effect of comprehensive nursing in hemodialysis after PCI in patients with renal disease combined with coronary heart disease is more ideal.
[Key words]Kidney disease；Coronary heart disease；Percutaneous coronary intervention；Hemodialysis；Comprehensive nursing care
慢性腎脏病在临床上较为常见，多采用血液透析治疗，能延长生存时间，提升生活质量[1]。慢性肾脏病会致使机体出现相关体液及病理改变，极易诱发动脉粥样硬化，导致合并冠心病[2]。经皮冠状动脉介入(percutaneous coronary intervention，PCI)是常用的治疗冠心病的方法，具有创伤小、恢复快等特点[3]。而慢性肾脏病合并冠心病患者的治疗及护理难度较大，引起人们高度关注。本研究旨在深入探讨综合护理在肾脏病并冠心病患者PCI术后血液透析中的应用效果，现报道如下。
1 资料与方法
1.1 一般资料, http://www.100md.com(李颖丹)