集束化护理在CKD-MBD血液透析患者血磷中的应用  

Application of Cluster Nursing in Blood Phosphorus of CKD-MBD Hemodialysis Patients

作　　者：赵云珠 陶永慧 ZHAO Yun-zhu;TAO Yong-hui(Department of Nephrology,the Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan Province,650101 China)

机构地区：[1]昆明医科大学第二附属医院肾内科,云南昆明650101

出　　处：《中外医疗》2020年第10期160-162,共3页China & Foreign Medical Treatment

摘　　要：目的探讨集束化护理在慢性肾脏病矿物质及骨代谢异常CKD-MBD血液透析患者血磷中的应用疗效。方法方便选取该院2017年7月-2019年7月收治的116例CKD-MBD血液透析患者为该次研究对象,在获得患者同意的基础上按照随机原则将所有患者分为对照组(58例:常规护理)与实验组(58例:集束化护理),比较两组患者预后情况。结果实验组患者护理后症状自评表SCL-90得分以及自我护理能力ESCA量表得分均优于同一时间段对照组,数据差异有统计学意义(P<0.05)。实验组患者6个月后血磷(1.83±0.22)mmol/L、血钙(2.63±0.21)mmol/L、全段甲状旁腺激素(221.45±45.27)ng/L以及清蛋白(42.73±3.35)g/L、血红蛋白(125.78±10.34)g/L等营养指征均优于对照组(2.13±0.21)mmol/L、(2.13±0.22)mmol/L、(403.44±44.29)ng/L、(36.63±3.38)g/L、(102.03±10.35)g/L,两组对比数据差异有统计学意义(t=12.211、12.113、10.446、10.341、12.231,P<0.05)。实验组患者参与该次研究6个月内不良反应发生率5.17%低于对照组12.07%,数据差异有统计学意义(χ~2=5.105,P<0.05)。结论 CKD-MBD血液透析患者集束化护理效果明显优于常规护理,值得推广。Objective To explore the effect of cluster nursing on blood phosphorus in CKD-MBD hemodialysis patients with CKD-MBD and mineral abnormalities in chronic kidney disease. Methods Convenient selection 116 CKD-MBD hemodialysis patients admitted in the hospital from July 2017 to July 2019 were the subjects of this study. All patients were divided into the control group(58 cases: routine nursing) and the experimental group(58 cases: cluster nursing), compared the prognosis of the two groups of patients. Results The SCL-90 score and the self-care ability ESCA scale score of the experimental group were better than those of the control group in the same period of time. The data difference was statistically significant(P <0.05). After 6 months, the patients in the experimental group had(1.83 ±0.22)mmol/L of phosphorus in blood,(2.63±0.21)mmol/L of blood calcium,(221.45±45.27)ng/L of parathyroid hormone and(42.73±3.35)g/L of albumin, hemoglobin(125.78±10.34)g/L and other nutrition indicators are better than the control group(2.13±0.21)mmol/L,(2.13 ±0.22)mmol/L,(403.44 ±44.29)ng/L,(36.63 ±3.38)g/L,(102.03 ±10.35)g/L, the difference between the two groups of comparison data is statistically significant(t=12.211, 12.113, 10.446, 10.341, 12.231, P<0.05). The incidence of adverse reactions in the experimental group within 6 months of participating in the study was 5.17% lower than that of the control group at 12.07%. The data difference was statistically significant (χ~2=5.105, P<0.05). Conclusion CKD-MBD hemodialysis patients are better than conventional nursing in the effect of cluster nursing. It is worth promoting.

关 键 词：集束化护理 慢性肾脏病 血液透析 矿物质及骨代谢异常 血磷管理 

分 类 号：R473.5[医药卫生—护理学]