张丽宏 熊镇 吴春霞 巫芷娴 秦钟媚

    【摘要】 目的：分析在尿毒症并发脑出血患者实施无肝素血液透析中开展护理干预的临床效果。方法：选取2021年8月-2022年8月桂林市人民医院接收的尿毒症并发脑出血患者113例为本次病例，采取随机数字表法将入选的病例分成观察组56例和对照组57例，两组患者均采取无肝素血液透析治疗，治疗期间对照组患者采取常规护理配合，观察组患者则给予预见性护理干预，将两种不同护理方案最终取得的临床效果进行详细对比分析。结果：护理后，观察组患者透析中Ⅰ、Ⅱ、Ⅲ级凝血发生率均低于对照组，透析期间观察组并发症发生率低于对照组，护理后，观察组患者透析依从性、生活活动能力、护理满意度及生存质量评分均高于对照组，差异均有统计学意义(P<0.05)。结论：在尿毒症并发脑出血患者行无肝素血液透析治疗期间开展预见性护理干预，对于提升临床护理管理质量、增强患者认知度及配合度、减少透析不良反應发生、提高患者疾病控制效果及改善患者生存质量起到了重要作用。

    【关键词】 无肝素血液透析 尿毒症 脑出血 护理干预

    Effect of Predictive Nursing Intervention on Heparin-free Hemodialysis in Uremic Patients Complicated with Cerebral Hemorrhage/ZHANG Lihong， XIONG Zhen， WU Chunxia， WU Zhixian， QIN Zhongmei. //Medical Innovation of China， 2023， 20(09)： 0-077

    [Abstract] Objective： To analyze the clinical effect of nursing intervention in heparin-free hemodialysis for patients with uremia complicated with cerebral hemorrhage. Method： A total of 113 patients with uremia complicated with cerebral hemorrhage in Guilin People's Hospital from August 2021 to August 2022 were selected as the cases. The selected patients were divided into observation group (56 cases) and control group (57 cases) by random number table. Both patients in the two groups were treated with heparin-free hemodialysis ......