中西结合护理在老年肾功能衰竭患者血液透析治疗中的应用  

Application of integrated traditional Chinese and Western nursing care for elderly renal failure patients receiving hemodialysis

作　　者：孙凤丽[1] 

机构地区：[1]山东省单县中心医院门诊,山东单县274300

出　　处：《中西医结合护理（中英文）》2017年第3期83-85,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨中西医结合护理在老年肾功能衰竭患者血液透析治疗中的应用效果。方法老年肾功能衰竭患者98例随机分为观察组和对照组,各49例。对照组给予常规护理,观察组在对照组的基础上实施中西医结合护理。观察2组护理前后急性生理与慢性健康评分(APACHEⅡ)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分。观察2组并发症发生情况。结果 2组护理后APACHEⅡ、SAS、SDS评分均较护理前降低,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为8.16%(4/49)低于对照组的26.53%(13/49),差异有统计学意义(P<0.05)。结论老年肾功能衰竭患者血液透析治疗中实施中西医结合护理,能够显著改善患者不良情绪,减少并发症,促进患者康复。Objective To investigate the effect of integrated traditional Chinese and Western nursing care for elderly renal failure patients receiving hemodialysis. Methods A total of 90 eld-erly renal failure patients were randomly divided into the observation group and the control group, with 49 cases in each group. Both two groups received routing nursing care during hemodialysis, and the integrated traditional Chinese and Western nursing intervention was carried out in the ob-servation group. The evaluation of acute physiology and chronic health evaluation II （ APACHE II ） , self-rating depression scale （SDS） , self-rating anxiety scale （SAS） were performed, and the complication during treatment was observed. Results The overall score of APACHE II , SAS and SDS were decreased in both two groups after nursing intervention, and were lower in the ob-servation group than those of control groups （P 〈 0. 05）. The incidence of complication was 8. 16% （4/49）in the observation group and was 26. 53 % （13/49） in the control group, with a significant difference （ P 〈 0. 05）. Conclusion Application of integrated traditional Chinese and Western nursing intervention can alleviate negative emotions and reduce the risk of complications in elderly renal failure patients receiving hemodialysis.

关 键 词：肾功能衰竭 血液透析 中西医结合护理 焦虑 抑郁 

分 类 号：R473[医药卫生—护理学]