延续护理对肾衰竭血液透析患者生活质量和疗效的作用探析
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摘要
目的探析实施延续护理对肾衰竭血液透析患者生活质量及临床疗效的影响。方法 60例肾衰竭血液透析患者,经随机抽取双色球分组法分为观察组及对照组,各30例。观察组实施延续护理,对照组实施常规护理。对比两组临床疗效、生活质量评分、护理前后肾功能指标。结果观察组总有效率为96.67%,高于对照组的80.00%,差异具有统计学意义(P<0.05)。观察组躯体功能、认知功能、社会功能、情绪功能评分分别为(90.6±3.4)、(92.8±3.4)、(91.6±4.9)、(93.1±4.8)分,均高于对照组的(79.5±1.9)、(72.8±2.5)、(81.5±3.3)、(79.3±3.2)分,差异均具有统计学意义(P<0.05)。护理前,两组血尿素氮、血尿素、血肌酐、血尿酸水平对比差异均无统计学意义(t=1.0124、1.5547、1.5538、1.5923,P>0.05);护理后,观察组血尿素氮、血尿素、血肌酐、血尿酸水平均低于对照组,差异均具有统计学意义(t=5.2970、7.2457、20.8962、130.6421, P<0.05)。结论肾衰竭血液透析患者接受延续护理干预,能提高患者临床疗效,改善患者的生活质量及肾功能指标,值得临床推广。
Objective To analyze the effect of continuous nursing on the quality of life and efficacy of hemodialysis patients with renal failure. Methods A total of 60 hemodialysis patients with renal failure were divided by dichroic sphere grouping method into observation group and control group, with 30 cases in each group. The observation group received continuous nursing, and the control group received conventional nursing.Comparison were made on clinical efficacy, quality of life score and renal function index before and after nursing between the two groups. Results The observation group had higher total effective rate as 96.67% than 80.00%in the control group, and the difference was statistically significant(P<0.05). The observation group had scores of physical function, cognitive function, social function and emotional function were respectively as(90.6±3.4),(92.8±3.4),(91.6±4.9) and(93.1±4.8) points, which were all higher than(79.5±1.9),(72.8±2.5),(81.5±3.3)and(79.3±3.2) points in the control group, and their difference was statistically significant(P<0.05). Before nursing, both groups had no statistically significant in blood urea nitrogen, blood urea, creatinine and uric acid levels(t=1.0124, 1.5547, 1.5538, 1.5923, P>0.05). After nursing, the observation group had lower blood urea nitrogen, blood urea, creatinine and uric acid levels than the control group, and the difference was statistically significant(t=5.2970, 7.2457, 20.8962, 130.6421, P<0.05). Conclusion Continuous nursing intervention for hemodialysis patients with renal failure can improve their clinical efficacy, quality of life and renal function index.It is worthy of clinical promotion.
Objective To analyze the effect of continuous nursing on the quality of life and efficacy of hemodialysis patients with renal failure. Methods A total of 60 hemodialysis patients with renal failure were divided by dichroic sphere grouping method into observation group and control group, with 30 cases in each group. The observation group received continuous nursing, and the control group received conventional nursing.Comparison were made on clinical efficacy, quality of life score and renal function index before and after nursing between the two groups. Results The observation group had higher total effective rate as 96.67% than 80.00%in the control group, and the difference was statistically significant(P<0.05). The observation group had scores of physical function, cognitive function, social function and emotional function were respectively as(90.6±3.4),(92.8±3.4),(91.6±4.9) and(93.1±4.8) points, which were all higher than(79.5±1.9),(72.8±2.5),(81.5±3.3)and(79.3±3.2) points in the control group, and their difference was statistically significant(P<0.05). Before nursing, both groups had no statistically significant in blood urea nitrogen, blood urea, creatinine and uric acid levels(t=1.0124, 1.5547, 1.5538, 1.5923, P>0.05). After nursing, the observation group had lower blood urea nitrogen, blood urea, creatinine and uric acid levels than the control group, and the difference was statistically significant(t=5.2970, 7.2457, 20.8962, 130.6421, P<0.05). Conclusion Continuous nursing intervention for hemodialysis patients with renal failure can improve their clinical efficacy, quality of life and renal function index.It is worthy of clinical promotion.
引文
[1]李淑华.肾衰竭血液透析患者的延续护理方式及应用意义评定.临床医药文献杂志(电子版), 2017, 4(42):8213.
[2]黄小莎.延续护理对29例肾衰竭血液透析患者生活质量的影响分析.中国卫生标准管理, 2017, 8(9):165-166.
[3]吴金梅.延续性护理对慢性肾衰竭血液透析患者负面情绪及生活质量的影响.齐鲁护理杂志, 2017, 23(9):82-84.
[4]王梅,刘琼.延续护理对肾衰竭血液透析患者生活质量和疗效的影响分析.中国急救医学, 2015, 35(2):110-111.
[5]王少梅.延续护理对肾衰竭血液透析患者生活质量和疗效的影响观察.中国继续医学教育, 2016, 8(21):241-242.
[6]贡亚芳.延续护理对肾衰竭血液透析患者生活质量和疗效的影响研究.实用临床医药杂志, 2014, 18(20):39.
[7]张文娜.延续护理对肾衰竭血液透析患者生活质量和疗效的影响分析.实用临床护理学电子杂志, 2017, 2(47):174,179.
[2]黄小莎.延续护理对29例肾衰竭血液透析患者生活质量的影响分析.中国卫生标准管理, 2017, 8(9):165-166.
[3]吴金梅.延续性护理对慢性肾衰竭血液透析患者负面情绪及生活质量的影响.齐鲁护理杂志, 2017, 23(9):82-84.
[4]王梅,刘琼.延续护理对肾衰竭血液透析患者生活质量和疗效的影响分析.中国急救医学, 2015, 35(2):110-111.
[5]王少梅.延续护理对肾衰竭血液透析患者生活质量和疗效的影响观察.中国继续医学教育, 2016, 8(21):241-242.
[6]贡亚芳.延续护理对肾衰竭血液透析患者生活质量和疗效的影响研究.实用临床医药杂志, 2014, 18(20):39.
[7]张文娜.延续护理对肾衰竭血液透析患者生活质量和疗效的影响分析.实用临床护理学电子杂志, 2017, 2(47):174,179.