护理干预在血液净化治疗肾衰竭患者中的应用  

Application of nursing intervention in patients with renal failure treated by blood purification

作　　者：李铮[1] 

机构地区：[1]南阳医学高等专科学校第一附属医院血液净化科,河南南阳473000

出　　处：《中国当代医药》2017年第33期195-196,F0003,共3页China Modern Medicine

摘　　要：目的探讨护理干预在血液净化治疗肾衰竭患者中的应用效果。方法选取2015年3月~2016年8月于我院进行血液净化治疗肾衰竭的88例患者作为研究对象,根据入院时间将其分为干预组(45例)与对照组(43例)。对照组患者施以传统护理,实验组患者采用护理干预。比较2个月后两组患者的焦虑、抑郁评分、皮肤瘙痒缓解有效率及满意度情况。结果干预前,两组患者的抑郁及焦虑评分比较,差异无统计学意义(P>0.05)。干预后,实验组患者的抑郁评分[(38.59±3.23)分]及焦虑评分[(41.13±3.19)分]均优于对照组[(47.48±4.21)、(51.27±0.21)分],差异有统计学意义(P<0.05)。实验组患者的皮肤瘙痒治疗有效率(95.56%)及满意度(93.33%)均高于对照组(72.09%,67.44%),差异均有统计学意义(P<0.05)。结论有效的护理干预可以提高患者的治疗效果,改善其心理状态,且有利于改善护患关系,提高满意度。Objective To investigate the effect of nursing intervention in patients with renal failure treated by blood purification.Methods From March 2015 to August 2016,88 patients with renal failure treated by blood purification in our hospital were selected as research objects.According to admission time,they were divided into intervention group （45 cases） and control group （43 cases）.In the control group,traditional care was used,while in the experimental group, nursing intervention was adopted.The anxiety,depression score,the effective rate of skin itch remission and satisfaction were compared in the two groups.Results Before intervention,depression and anxiety scores were compared in both groups,and the differences were not statistically significant （P〉0.05）.After the intervention,the depression scores of pa- tients in the experimental group [（38.59±3.23） points] and the anxiety score [（41.13±3.19） points] were superior to the control group [（47.48±4.21）,（51.27±0.21）points],and the differences were statistically significant （P〈0.05）.The effective rate of skin itch remission in the experimental group （95.56%） and satisfaction rate （93.33%） were higher than those in the control group （72.09%,67.44%）,and the differences were statistically significant （P〈0.05）.Conelusion Effective nurs- ing intervention improves patient＇s therapeutic effect as well as mental state,which is beneficial to better the nurse-pa- tient relationship and improve the satisfaction.

关 键 词：血液净化 肾衰竭 护理干预 

分 类 号：R692[医药卫生—泌尿科学]