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舒适护理在血液透析护理中的应用价值(1)
http://www.100md.com 2018年2月15日 《中国实用医药》 2018年第5期
     【摘要】 目的 研究舒适护理在血液透析护理中的应用价值。方法 120例行血液透析治疗的患者, 随机分为对照组和观察组, 各60例。对照组给予常规护理, 观察组在对照组基础上加用舒适护理。护理干预后, 比较两组患者治疗前后焦虑、抑郁评分及护理满意度。结果 干预前, 观察组焦虑、抑郁评分分别为(60.34±3.14)、(59.36±3.34)分, 对照组焦虑、抑郁评分分别为(60.20±3.30)、(59.06±3.40)分, 两组比较差异无统计学意义(P>0.05)。干预后, 观察组焦虑、抑郁评分分别为(35.15±1.34)、(36.54±1.06)分, 低于对照组的(49.34±2.47)、(48.42±1.24)分, 差异具有统计学意义(P<0.05)。观察组护理满意度为96.67%, 对照组护理满意度为80.00%;观察组护理满意度高于對照组, 差异具有统计学意义(P<0.05)。结论 在行血液透析治疗中加用舒适护理具有显著效果, 可改善患者负性心理, 提高满意度, 值得临床推广。

    【关键词】 舒适护理;血液透析;焦虑、抑郁评分

    DOI:10.14163/j.cnki.11-5547/r.2018.05.080

    【Abstract】 Objective To study the application value of comfortable nursing in the nursing of hemodialysis. Methods A total of 120 patients undergoing hemodialysis were randomly divided into control group and observation group, with 60 cases in each group. The control group received conventional nursing, and the observation received comfort nursing on the basis of the control group. After nursing intervention, comparison were made on anxiety and depression score and nursing satisfaction between the two groups. Results Before intervention, the observation group had anxiety and depression score respectively as (60.34±3.14) and (59.36±3.34) points, which were (60.20±3.30) and (59.06±3.40) points in the control group, and their difference was not statistically significant (P>0.05). After intervention, the observation group had anxiety and depression score respectively as (35.15±1.34) and (36.54±1.06) points, which were all lower than (49.34±2.47) and (48.42±1.24) points in the control group, and their difference was statistically significant (P<0.05). The observation group had nursing satisfaction as 96.67%, which was 80.00% in the control group. The observation group had higher nursing satisfaction than the control group, and the difference was statistically significant (P<0.05). Conclusion Application of comfortable nursing shows remarkable effect during the treatment of hemodialysis, and can improve patient’s negative psychology and improve their satisfaction. It is worthy of clinical promotion.

    【Key words】 Comfortable nursing; Hemodialysis; Anxiety and depression score

    临床给予血液透析多用于治疗肾衰竭, 疗效准确且应用广泛, 而该疾病具有发病率高及病理复杂等特点, 严重威胁患者的生命健康。因此, 需在治疗期间采用护理, 使患者生理及心理处于良好状态, 从而保证治疗效果。舒适护理是一种常规护理基础之上的护理模式, 可提高患者的心理及生理舒适度, 减轻治疗期间的不适感[1]。本研究选取120例行血液透析患者作为研究对象, 随机分为两组, 分别给予常规护理及舒适护理, 具体报告如下。

    1 资料与方法

    1. 1 一般资料 选取本院2016年1月~2017年5月收治的120例行血液透析患者, 随机分为对照组和观察组, 各60例。

    两组患者经临床诊断确诊为肾衰竭, 均需行血液透析治疗。所有患者无其他严重器官及神经系统疾病。本次研究经医院医学伦理委员会审核批准, 全部患者均自愿参与。观察组中男36例, 女24例;年龄19~70岁, 平均年龄(45.4±8.5)岁。, 百拇医药(李颖丹)
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