老年尿毒症患者行血液透析诱导期护理的效果评价  

Effect evaluation of nursing for senile uremia patients during induction period of hemodialysis MO

作　　者：莫国华[1] 韦丽玲[1] 李家莲[1] 韦红[1] 

机构地区：[1]桂林医学院附属医院护理部,541001

出　　处：《中国实用护理杂志》2012年第10期42-43,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨老年尿毒症患者血液透析诱导期护理方法。方法2010年3月开始改进护理方法，选择2010年3月至2011年3月收治的68例老年尿毒症住院患者为观察组，回顾性分析2009年3月至2010年2月收治的59例住院患者为对照组。对2组患者的并发症发生率进行比较。结果观察组发生3例心律失常，5例低血压，2例失衡综合征；对照组发生11例心律失常，16例低血压，8例失衡综合征，且对照组中3例患者因严重的心律失常而死亡。2组患者不同并发症发生率经比较有差异。结论心血管事件是老年尿毒症患者血液透析期最严重的并发症，科学合理的护理方法可以减少这些并发症。Objective To discuss the nursing methods of senile uremia patients during induction period of hemodialysis. Methods Improved nursing methods have been adopted since March 2010 in our department. 68 senile uremia inpatients from March 2010 to March 2011 were selected as the observation group, while 59 inpatients from March 2009 to February 2010 were reviewed as the control group. The incidence of complications Was compared between the two groups. Results There were 3 cases of arrhythmia, 5 cases of hypotension and 2 cases of disequilibrium syndrome in the observation group, while 11 cases of arrhythmia, 16 cases of hypotension and 8 cases of disequilibrium syndrome in the control group. 3 patients of the control group died of severe arrhythmia. There was statistical difference of complication incidence between the two groups. Conclusions Cardiovascular events axe the most severe complications for senile uremia patients dur- ing induction period of hemodialysis, which can be reduced by scientific and reasonable nursing.

关 键 词：老年尿毒症患者 血液透析 诱导期护理 

分 类 号：R692.5[医药卫生—泌尿科学]