循证护理在急性肾功能衰竭患者血液透析中的价值及护理质量  

Value of Evidence-based Nursing in Hemodialysis and Nursing Quality of Patients with Acute Renal Failure

作　　者：李欣慧 LI Xinhui(Beipiao Central Hospital,Beipiao 122100,China)

机构地区：[1]北票市中心医院,辽宁北票122100

出　　处：《中国医药指南》2022年第23期58-61,共4页Guide of China Medicine

摘　　要：目的探讨将循证护理应用在急性肾功能衰竭患者血液透析中所体现出的护理价值。方法将84例急性肾功能衰竭患者按随机的方法分为观察组和对照组,每组42例,分别配合循证护理和常规护理,对两组患者经过不同护理后的治疗依从性、并发症发生率、护理前后的焦虑、抑郁、睡眠质量、生活质量、护理后的满意度等进行统计学分析,并做出比较。结果相比对照组(35例,占83.33%)而言,观察组(40例,占95.24%)的治疗依从性明显具有更高的水平(P<0.05)。观察组(4例,占9.52%)相比对照组(13例,占30.95%)具有更低的并发症发生概率(P<0.05)。护理前,两组患者具有较高的HAMA、HAMD、PSQI评分且相互之间差异无统计学意义(P>0.05),护理后,两组患者的HAMA、HAMD、PSQI评分均降低,且观察组低于对照组(P<0.05)。护理前,两组患者的SF-36评分比较,差异无统计学意义(P>0.05);护理后,两组患者的SF-36评分提升,且观察组高于对照组(P<0.05)。观察组(41例,占97.62%)相比对照组(36例,占85.71%)对护理满意度表现出更高的认可(P<0.05)。结论将循证护理应用在急性肾功能衰竭实施血液透析的患者中可使患者对治疗更为依从,能达到降低并发症出现概率的目的,改善患者的负面心理和不良睡眠,使生活质量得以提升,更能获得患者的满意和认可。Objective To study the nursing value of evidence-based nursing in hemodialysis patients with acute renal failure.Methods Eightyfour patients with acute renal failure were randomly divided into an observation group and a control group,42 cases in each group,with evidencebased nursing and routine nursing,respectively.The rate,anxiety,depression,sleep quality,quality of life,and post-nursing satisfaction before and after nursing were statistically analyzed and compared.Results Compared with the control group(35 cases,accounting for 83.33%),the treatment compliance of the observation group(40 cases,accounting for 95.24%)was significantly higher(P<0.05).The observation group(4 cases,accounting for 9.52%)had a lower probability of complications compared with the control group(13 cases,accounting for 30.95%)(P<0.05).Before nursing,the two groups of patients had higher HAMA,HAMD and PSQI scores,and there was no significant difference between them(P>0.05).After nursing,the HAMA,HAMD and PSQI scores of the two groups were decreased,and the observation group was lower than the control group(P<0.05).Before nursing,the two groups of patients SF-36 scores,and the difference was not statistically significant(P>0.05).After nursing,the SF-36 scores of the two groups of patients increased,and the observation group was higher than the control group(P<0.05).The observation group(41 cases,accounting for 97.62%)showed higher recognition of nursing satisfaction than the control group(36 cases,accounting for 85.71%)(P<0.05).Conclusion The application of evidence-based nursing in patients with acute renal failure undergoing hemodialysis can make patients more compliant with treatment,reduce the incidence of complications,improve patients'negative psychology and poor sleep,and improve their quality of life,more able to obtain patient satisfaction and recognition.

关 键 词：急性肾功能衰竭 循证护理 血液透析 生活质量 满意度 焦虑 抑郁 

分 类 号：R473.6[医药卫生—护理学] R692.5[医药卫生—临床医学]