协同护理模式对维持性血液透析患者干体重达标的影响  

INFLUENCE OF COOPERATION NURSING CARE MODEL ON DRY WEIGHT UP TO STANDARD IN PATIENTS WITH MAINTENANCE HEMODIALYSIS

作　　者：郑彩娟[1] 尚华[1] 付惠杰 郑玉芬[1] 杨晓丽[1] 么作义 

机构地区：[1]河北省唐山市传染病医院,063021

出　　处：《中国煤炭工业医学杂志》2016年第6期886-890,共5页Chinese Journal of Coal Industry Medicine

基　　金：河北省自然科学基金项目(编号:C2010001750)

摘　　要：目的探讨对尿毒症维持性血液透析患者实施协同护理的的效果。方法将108例维持性血液透析患者随机分成二组,对照组、观察组各54例,对照组采用常规血液透析治疗护理,观察组在常规血液透析治疗护理的基础上增加协同护理,加强血液透析知识教育及心理护理,调动患者家属参与护理的积极性,对患者给予支持、照顾,对透析间期饮食给予监督,责任护士对患者家属的支持能力水平给予评估、评价,使患者透析间期体重增长在正常范围。结果二组患者透析间期体重增长程度、家属健康知识掌握程度、并发症的发生率方面比较差异有统计学意义(P<0.05)。结论协同护理能有效提高家属健康知识掌握程度,提高患者透析间期体重达标率,减少并发症的发生。Objective To investigate the effect of nursing care on the patients with uremia maintenance hemodialysis.Methods Totally 108 maintenance hemodialysis patients were randomly divided into two groups,control group and observation group of 54 cases.The control group was treated with routine hemodialysis treatment,while the observation group was treated with collaborative care on the basis of conventional hemodialysis treatment,such as to strengthen hemodialysis knowledge education and psychological nursing,to mobilize the enthusiasm of patients＇ family members with participate in nursing,to give support and care to patients,to supervise diet during dialysis,to assess and evaluat the level of support for the family members of patients by responsibility nurses.Results There were statistically significant differences in dialysis interval weight growth,family health knowledge mastery,the incidence of complications between the two groups of patients（P〈0.05）.Conclusion Collaborative care can effectively improve the level of family health knowledge,improve the rate of hemodialysis interval weight,reduce the incidence of complications.

关 键 词：协同护理 血液透析 干体重 达标 

分 类 号：R473.5[医药卫生—护理学]