维持性血液透析患者护理中应用饮食宣教的效果观察  

Observation on Effect of Diet education in Nursing of Maintenance Hemodialysis Patients

作　　者：郭美穗[1] GUO Meisui(Affiliated Zhongshan Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属中山医院,福建厦门361000

出　　处：《中国医药指南》2022年第34期160-162,166,共4页Guide of China Medicine

摘　　要：目的 分析维持性血液透析患者护理中应用饮食宣教的临床效果。方法 选取近1年(2020年10月至2021年10月)我院实施维持性血液透析治疗的60例终末期肾功能衰竭患者分为观察组(30例,应用饮食宣教干预)和对照组(30例,实施常规护理干预),对两组患者的护理满意度、护理前后机体生化指标改善情况(血钙、血磷、血肌酐水平、超敏C反应蛋白、血尿素氮)、不良心理改善情况(焦虑评分和抑郁评分)、生活质量评分(角色扮演、情感功能、社会功能、睡眠质量、生理功能)进行观察及分析。结果 观察组护理满意度明显高于对照组(96.67%vs.76.67%,P <0.05);护理前两组患者机体生化指标水平(血钙、血磷、血肌酐水平、超敏C反应蛋白、血尿素氮)、不良心理评分(焦虑评分和抑郁评分)、生活质量评分(角色扮演、情感功能、社会功能、睡眠质量、生理功能)比较无差异(P> 0.05),护理后两组均出现了显著改善,且观察组以上各不良心理评分、生化指标、生活质量评分改善显著优于对照组(P<0.05)。结论 维持性血液透析患者护理中应用饮食宣教具有良好的效果,能显著促进患者血肌酐、血钙等生化指标的水平及焦虑抑郁等不良心理地改善,同时明显提高患者的满意度,从而提升患者的生活质量。Objective To analyze the clinical effect of diet education in nursing of maintenance hemodialysis patients.Methods A total of 60patients with end-stage renal failure who underwent maintenance hemodialysis treatment in our hospital in the past year(October 2020 to October 2021) were selected and divided into observation group(30 cases,diet education intervention) and control group(30 cases,routine nursing intervention).On two groups of patients satisfaction with nursing care,nursing the body biochemical indexes before and after blood(blood calcium,phosphorus,serum creatinine,hypersensitive c-reactive protein and blood urea nitrogen),adverse psychological improvement(anxiety scores and depression score),the quality of life score(society function,role playing,physiological function,emotional function,sleep quality)were analyzed.Results The nursing satisfaction of observation group was significantly higher than that of control group(96.67% vs.76.67%,P0.05),after nursing,there were significant improvements,and the improvement of the above adverse psychological scores,biochemical indexes and quality of life scores in the observation group were significantly better than those in the control group(P<0.05).Conclusion The application of diet education in the nursing of maintenance hemodialysis patients has a good effect,which can significantly promote the improvement of patients’ body biochemical indicators and adverse psychological improvement,improve patients’ satisfaction and quality of life.

关 键 词：维持性血液透析 护理 饮食宣教 临床效果 

分 类 号：R473.5[医药卫生—护理学] R459.5[医药卫生—临床医学]