延续护理对维持性血液透析患者生存质量的干预效果  

Effect of continuing care on quality of life of maintenance hemodialysis patients

作　　者：罗伟燕[1] 张志兰[1] 陈佩 Luo Weiyan;Zhang Zhilan;Chen Pei(.Nephrology Department,People's Hospital of Gaozhou,Guangdong Province,Gaozhou 525200,China)

机构地区：[1]广东省高州市人民医院肾内科,525200

出　　处：《国际护理学杂志》2018年第22期3033-3036,共4页international journal of nursing

摘　　要：目的 探讨延续护理对维持性血液透析患者生存质量的干预效果.方法 选取2016年6月~2017年6月期间在该院进行治疗的维持性血液透析患者90例作为研究对象.所有患者均采用数字表法分为常规组和实验组,各45例.其中常规组维持性血液透析患者采用一般护理措施干预;实验组患者在一般护理措施的基础上,实施延续护理.观察分析两组患者护理前后的心理状态( SAS、SDS)评分、生存质量(躯体功能、社会功能、疼痛状况、心理状况)、护理后睡眠质量(睡眠质量、入睡时间、睡眠时间、睡眠药物、日间功能障碍和睡眠障碍) 、日常生活能力及满意度评分.结果 实验组SAS评分、SDS评分均低于常规组,差异有统计学意义(均P<0.05) ;实验组躯体功能评分、社会功能评分、疼痛状况评分、心理状况评分均高于常规组,差异有统计学意义(均P<0.05);两组患者生活质量评分比较,差异有统计学意义(均P<0.05);两组患者睡眠质量比较,存在较大差异,实验组睡眠质量评分、入睡时间评分、睡眠时间评分、睡眠药物评分、日间功能障碍评分、睡眠障碍评分均较常规组更优,差异有统计学意义(均P<0.05) ;实验组日常生活能力评分、满意度评分均优于常规组,差异有统计学意义(均P<0.05) .结论 对于维持性血液透析患者,延续护理可有效改善其不适,缓解焦虑、抑郁情绪,并提高其睡眠质量和生活质量,具有较高的临床使用价值.Objective To explore the effect of continuous nursing on the quality of life of maintenance hemo-dialysis patients.Methods A total of 90 cases of maintenance hemodialysis patients who were treated in the hospital from June 2016 to June 2017 were selected as study objects. All the patients were divided into routine group and experi-mental group by digital table method, 45 cases of each group. The routine group of maintenance hemodialysis patients adopted general nursing intervention. On the basis of general nursing measures, the patients in the experimental group performed extended nursing. The psychological state (SAS and SDS) score of patients before and after nursing in the two groups, life quality ( physical function, social function, pain status and psychological status) , sleep quality after care (sleep quality, sleep duration, sleep duration, sleep medications, daytime dysfunction and sleep disorders), daily life ability and satisfaction score before and after nursing were observed and analyzed. Results The SAS and SDS scores of the experimental group were all lower than those of the routine group, and the differences were statistically sig-nificant (P<0.05). The body function score, social function score, pain status score and psychological status score of the experimental group were all higher than those of the routine group, with statistically significant differences ( P<0.05). There were significant differences in sleep quality between the two groups. The sleep quality score, fall asleep time score, sleep time score, sleep drug score, daytime dysfunction score and sleep disorder score of the experimental group were better than those of the conventional group, with statistically significant differences ( P<0.05) . The daily life ability and satisfaction scores of the experimental group were better than those of the conventional group, and the differences were statistically significant ( P<0.05) . Conclusions For maintenance hemodialysis patients, extended nursing can effectively improve their discomfort,

关 键 词：延续护理 维持性血液透析 生活质量 干预效果 

分 类 号：R473.5[医药卫生—护理学]