循证护理对尿毒症血液透析患者营养状况及生活质量的影响  

Impacts of evidence-based nursing on nutritional status and quality of life in patients undergoing uremia hemodialysis

作　　者：吴柯[1] 阮可菲[1] WU Ke;RUAN Kefei(Hemodialysis Room,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Hubei,Wuhan 430064,China)

机构地区：[1]武汉科技大学附属天佑医院血液透析室,湖北武汉430064

出　　处：《中国医药科学》2021年第5期147-149,153,共4页China Medicine And Pharmacy

摘　　要：目的观察循证护理对尿毒症血液透析患者营养状况及生活质量的影响。方法回顾性分析本院血液透析室2017年10月至2019年12月期间行血液透析治疗的90例尿毒症患者资料,根据护理干预措施不同分为两组,每组各45例,对照组采用常规护理措施进行干预,观察组采用循证护理进行干预。采用全自动血生化仪检测两组患者护理干预前后血浆白蛋白、前白蛋白、血红蛋白及转铁蛋白等营养指标的变化;采用生活质量评分量表(SF-36)评估两组患者护理干预前后生活质量评分变化。结果两组患者护理干预后血浆白蛋白、前白蛋白、血红蛋白及转铁蛋白等营养指标均升高,差异有统计学意义(P<0.05),而观察组患者护理干预后各项营养指标较对照组升高更为明显,差异有统计学意义(P<0.05);两组患者护理干预后生活质量评分均升高,差异有统计学意义(P<0.05),而观察组患者护理干预后各项生活质量评分较对照组升高更为明显,差异有统计学意义(P<0.05)。结论循证护理可明显改善尿毒症血液透析患者的营养状况,并且显著性提高患者的生活质量。Objective To observe the impacts of evidence-based nursing on nutritional status and quality of life(QoL)in patients undergoing uremia hemodialysis.Methods The data of 90 patients undergoing uremia hemodialysis in the hemodialysis room of our hospital from October 2017 to December 2019 were retrospectively analyzed,and they were divided into the control group(n=45)and the observation group(n=45)according to different nursing interventions.The control group was intervened by conventional nursing measures,while the observation group was intervened by evidence-based nursing.The changes of plasma albumin,prealbumin,hemoglobin,transferrin and other nutritional indexes before and after nursing intervention were detected by automatic blood biochemical analyzer.And QoL scale(SF-36)was used to evaluate the changes of QoL in two groups of patients before and after nursing intervention.Results After nursing intervention,the nutritional indexes of plasma albumin,prealbumin,hemoglobin and transferrin in both groups of patients were increased,with statistically significant differences(P<0.05).While after nursing intervention,the nutritional indexes in the observation group were more significantly increased than those in the control group,with statistically significant differences(P<0.05).After nursing intervention,the QoL scores of patients in both groups were increased significantly,with statistically significant difference(P<0.05),while the various QoL scores of patients in the observation group were more significantly increased than those in the control group,with statistically significant difference(P<0.05).Conclusion Evidence-based nursing can significantly improve the nutritional status of patients with uremia hemodialysis and significantly improve the QoL of the patients.

关 键 词：循证护理 尿毒症 血液透析 营养状况 生活质量 

分 类 号：R473.5[医药卫生—护理学]