延续护理对自动化腹膜透析治疗尿毒症合并心力衰竭患者的临床效果  

The Clinical Effect of Continued Nursing on Patients with Uremia Complicated by Heart Failure in the Treatment of Uremia by Automated Peritoneal Dialysis

作　　者：张莹莹[1] 麦倩婷[1] 林展华[1] 梁艳萍[1] ZHANG Yingying;MAI Qianting;LIN Zhanhua;LIANG Yanping(Department of Nephrology,Maoming People's Hospital,Maoming,Guangdong Province,525000 China)

机构地区：[1]茂名市人民医院肾内科,广东茂名525000

出　　处：《中外医疗》2021年第32期146-150,共5页China & Foreign Medical Treatment

基　　金：茂名市科技计划项目(2020008)。

摘　　要：目的探讨对自动化腹膜透析治疗尿毒症合并心力衰竭患者应用延续护理进行干预,分析其临床效果。方法随机选取2020年1月—2021年1月该院收治的尿毒症合并慢性心力衰竭患者80例,通过随机数表法分为两组,各40例。给予对照组患者常规护理,研究组患者在对照组基础上应用延续护理。对比两组患者干预前后心功能指标变化、自护能力变化、生活质量变化及预后疗效差异,综合分析其临床效果。结果经不同护理模式干预后,研究组患者左室舒张末期容积(EDV)(129.37±17.68)mL、左室收缩末期容积(ESV)(70.18±10.25)mL均明显低于对照组(158.73±18.66)、(87.67±13.92)mL,左室射血分数(LVEF)(41.53±7.02)%、舒张早期最大血流速度/舒张晚期最大血流速度比值(E/A值)(0.88±0.32)显著高于对照组(35.85±7.07)%、(0.68±0.45),差异有统计学意义(t=7.224、6.399、3.606、2.291,P<0.05);研究组患者自我护理技能(38.52±2.07)分、自我责任感(37.53±1.58)分、健康知识水平(38.21±2.09)分及自我概念评分(37.65±2.41)分均显著高于对照组(34.48±4.61)分、(34.87±2.56)分、(34.48±3.11)分、(33.69±3.22)分,差异有统计学意义(t=5.056、5.592、6.296、6.227,P<0.05);研究者患者情感功能(59.37±6.03)分、社会功能(57.81±8.12)分、身体功能(56.78±7.83)分及心理状态(56.64±7.38)分均显著高于对照组(54.31±8.22)分、(52.33±6.18)分、(50.41±8.77)分、(51.21±8.43)分,差异有统计学意义(t=3.139、3.396、3.427、3.065,P<0.05);研究组患者的治疗总有效率为72.50%,显著高于对照组的42.50%,差异有统计学意义(χ^(2)=7.366,P<0.05)。结论延续护理对自动化腹膜透析治疗尿毒症合并心力衰竭患者的临床效果显著,可显著改善患者的心功能,提高患者的疾病知识认知,增强自我护理意识,进而促进患者预后的提升。Objective To investigate the application of continuous nursing intervention for patients with uremia complicated by heart failure by automated peritoneal dialysis,and to analyze its clinical effects.Methods From January 2020 to January 2021,80 patients with uremia and chronic heart failure admitted to the hospital were randomly selectd.They were divided into two groups by random number table method,with 40 cases in each group.Patients in the control group were given routine care,and patients in the study group were given continuous care on the basis of the control group.The changes in cardiac function indexes,changes in self-care ability,changes in quality of life,and differences in prognostic efficacy between the two groups of patients before and after intervention were compared,and their clinical effects were comprehensively analyzed.Results After the intervention of different nursing models,the left ventricular end diastolic volume(EDV)(129.37±17.68)mL and left ventricular end systolic volume(ESV)(70.18±10.25)mL of the study group were significantly lower than those of the control group(158.73±18.66)mL,(87.67±13.92)mL,left ventricular ejection fraction(LVEF)(41.53±7.02)%,the ratio of maximum blood flow velocity in early diastole/maximum blood flow velocity in late diastole(E/A value)(0.88±0.32),significant higher than the control group(35.85±7.07)%,(0.68±0.45),the difference was statistically significant(t=7.224,6.399,3.606,2.291,P<0.05);the study group patients'self-care skills(38.52±2.07)points,self-responsibility(37.53±1.58)points,health knowledge level(38.21±2.09)points and self-concept score(37.65±2.41)points,significantly higher than the control group(34.48±4.61)points,(34.87±2.56)points,(34.48±3.11)points,(33.69±3.22)points,the difference was statistically significant(t=5.056,5.592,6.296,6.227,P<0.05);the investigator patient’s emotional function(59.37±6.03)points,social function(57.81±8.12)points,physical function(56.78±7.83)points and mental state(56.64±7.38)points were significa

关 键 词：延续护理 自动化腹膜透析 尿毒症 心力衰竭 临床效果 

分 类 号：R473[医药卫生—护理学]