中国血液净化

中国血液净化 ›› 2016, Vol. 15 ›› Issue (08): 444-446.doi: 10.3969/j.issn.1671-4091.2016.08.017

• 护理园地 • 上一篇    下一篇

血液透析治疗慢性肾衰竭患者配合舒适护理的效果分析

高红波,李连珍   

  1. 内蒙古医科大学附属医院肾内科
  • 收稿日期:2015-12-14 修回日期:2016-05-30 出版日期:2016-08-12 发布日期:2016-07-12
  • 通讯作者: 李连珍:shiwanr@163.com E-mail:shiwanr@163.com

Research on application effect of comfort nursing care in chronic renal failure patients with hemodialysis

  • Received:2015-12-14 Revised:2016-05-30 Online:2016-08-12 Published:2016-07-12

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摘要： 目的探讨在慢性肾衰竭患者血液透析治疗中采用舒适护理模式的效果分析。方法选择2011 年6 月～2014 年12 月于内蒙古医科大学附属医院血液净化中心进行长期血液透析的慢性肾衰竭患者126 例，根据随机表法随机分为观察组(n=63)和对照组(n=63)。对照组给予常规护理，观察组给予舒适护理模式进行护理。观察2 组患者在护理1 年后透析并发症、生活质量和护理满意度情况。结果与对照组相比，观察组患者经舒适护理干预1 年内心律失常、呼吸困难、感染、高血压、低血压发生例次均显著降低(χ2 =11.105，8.387，11.243，33.727，20.674；P=0.001，0.004，0.001，0.000，0.000)，并且患者在生理、情感、生活满意度及感情的评分均显著提高(t=3.537，3.429，3.572，3.827；P =0.032，0.019，0.015，0.016)。护理满意度调查结果显示，观察组患者经舒适护理模式干预后满意度显著高于对照组(χ2 =12.365，P=0.000)。结论舒适护理模式应用于慢性肾衰竭患者的常规护理中，能有效降低透析并发症，提高患者的护理满意度和生活质量，具有重要的临床应用价值。

关键词: 舒适护理模式, 血液透析, 慢性肾衰竭, 效果

Abstract: Objective To explore the application value of comfort nursing care in chronic renal failure patients with hemodialysis. Methods From Jun. 2011 to Dec. 2014, a total of 126 chronic renal failure patients with hemodialysis treated in the blood purification center of our hospital were randomized into observation group (n=63) and control group (n=63). Comfort nursing care was applied to observation group, and routine nursing was carried out for control group. Complications, life quality and satisfaction degree toward nursing were observed in the two groups. Results Compared with the control group, the case-times of arrhythmia, dyspnea, infection, hypertension, and hypotension decreased significantly in the observation group within a year (P＜0.05), and the overall quality of life scores increased significantly in the observation group (P＜0.05). The satisfaction degree toward nursing was significant higher in the observation group than in the control group (χ2=12.365, P=0.000). Conclusion Comfort nursing care model has a significant effect for chronic renal failure with hemodialysis, This care model improves the quality of life, and deserves further study in clinical practice.

Key words: Comfort nursing care, Hemodialysis, Chronic renal failure, Effect