护理结局分类指导在慢性肾衰竭患者中的应用  

Application of nursing outcome classification guidance in patients with chronic renal failure

作　　者：杨燕燕 曹玉玲 卢惠[1] Yang Yanyan(Heodialysis room,Huazhou people's hospital,Huazhou,Guangdong,525100,China)

机构地区：[1]化州市人民医院血透室,广东化州525100

出　　处：《齐齐哈尔医学院学报》2021年第14期1280-1283,共4页Journal of Qiqihar Medical University

摘　　要：目的分析护理结局分类指导(NOC)在慢性肾衰竭(CRF)护理中的应用价值。方法选择2017年10月—2018年10月本院肾内科收治的105例慢性肾衰竭(CRF)患者作为研究对象,根据简单随机法分为观察组和对照组两组,观察组64例,对照组41例。对照组采用常规临床护理路径,观察组在此上基础给予护理结局分类指导,两组均干预3周。比较干预前后两组肾功能、生活质量及睡眠质量的变化,并评估两组干预后护理满意度。结果观察组患者的尿素氮(BUN)与血肌酐(SCr)指标均低于对照组,差异有统计学意义(P<0.05);观察组患者生活质量及睡眠质量改善效果均优于对照组,差异具有统计学意义(P<0.05);观察组患者护理满意度均高于对照组,差异具有统计学意义(P<0.05)。结论护理结局分类指导优化护理应用于CRF患者中,临床效果较显著,不仅能有效改善患者肾功能,提高生活质量及睡眠质量,同时还有益于护患和谐。Objective To analyze the application value of nursing outcome classification guidance(NOC) in the nursing of chronic renal failure(CRF).Methods A total of 105 patients with chronic renal failure(CRF) those admitted to the department of nephrology of our hospital from October 2017 to October 2018 were selected as the research objects.According to simple random method, they were divided into observation group and control group.64 cases in the observation group and 41 cases in the control group. In the control group,the routine clinical care path was adopted. On this basis,the observation group was given nursing outcome classification guidance. Both groups were treated for 3 weeks. The changes of renal function,life quality and sleep quality were compared between the two groups before and after intervention. The post-intervention nursing satisfaction of the two groups was evaluated.Results The indexes of urea nitrogen( BUN) and serum creatinine( SCR) in observation group were lower than those in control group,the difference was statistically significant( P<0.05).The improvement effect of quality of life and sleep in observation group were better than those in control group,the differences were statistically significant( P < 0. 05). The nursing satisfaction of observation group was higher than that of control group,the difference was statistically significant( P<0.05).Conclusions Nursing outcome classification guidance optimized nursing applied in CRF patients,achieves significantclinical effect.Not only could it effectively improve the kidney function of patients,improve the quality of life and sleep,but also benefit to patient and nurse harmony.

关 键 词：护理结局分类指导 优化护理 慢性肾衰竭 肾功能 生活质量 

分 类 号：R473.12[医药卫生—护理学]