基于风险防控的全方位护理干预对老年慢性肾衰竭腹膜透析患者的效果  

Nursing effect of all-directional nursing intervention based on risk prevention and control on elderly peritoneal dialysis patients with chronic renal failure

作　　者：胡姣姣[1] 王鹤云 郭亚崴 HU Jiaojiao;WANG Heyun;GUO Yawei(The First People's Hospital of Pingdingshan,Pingdingshan,467000,China)

机构地区：[1]河南省平顶山市第一人民医院肾脏病风湿免疫科,467000

出　　处：《护理实践与研究》2023年第17期2573-2577,共5页Nursing Practice and Research

摘　　要：目的探讨基于风险防控的全方位护理干预对老年慢性肾功能衰竭腹膜透析患者肾功能、营养状态、心理状态及并发症的效果。方法选取2021年3月—2022年3月收治的老年慢性肾功能衰竭患者92例为研究对象,按照组间基线资料可比的原则分为对照组和观察组,各46例。对照组采用常规护理干预,观察组在对照组基础上给予基于风险防控的全方位护理干预。比较两组肾功能指标(血肌酐和尿素氮)、营养状况指标(血清蛋白、血红蛋白)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我护理能力测定表(ESCA)、理查兹-坎贝尔睡眠量表(RCSQ)、并发症发生情况。结果护理干预后,观察组患者血肌酐和尿素氮水平均低于对照组,血清蛋白、血红蛋白水平高于对照组,差异有统计学意义(P<0.05);SDS、SAS评分低于对照组,RCSQ、ESCA评分高于对照组,差异有统计学意义(P<0.05)。观察组患者并发症总发生率(2.17%)低于对照组(17.39%),组间差异有统计学意义(P<0.05)。结论基于风险防控的全方位护理干预可改善老年慢性肾功能衰竭腹膜透析患者肾功能和营养状况,调节负性心理状态,提升患者的自护能力,改善睡眠质量,减少并发症的发生,促进康复。Objective To explore the effect of risk prevention and control-based all-round nursing intervention on renal function,nutritional status and complications in elderly peritoneal dialysis patients with chronic renal failure.Methods 92 cases of elderly patients with chronic renal failure admitted from March 2021 to March 2022 were selected for the study,they were divided into control group and observation group according to the principle of comparable baseline data between the groups,with 46 cases in each group.The control group used conventional nursing interventions,and the observation group was given comprehensive nursing interventions based on risk prevention and control on the basis of the routine group.The two groups were compared in terms of renal function indexes(blood creatinine and urea nitrogen),nutritional status indexes(serum protein,haemoglobin),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Self-care Competence Avility scale(ESCA),Richards-Campbell Sleepiness Scale(RCSQ),and the occurrence of complications.Results After nursing intervention,patients in the observation group had lower blood creatinine and urea nitrogen levels than the control group,higher serum protein and haemoglobin levels than the conventional group,with statistically significant diff erences(P<0.05).SDS and SAS scores were lower than those of the control group,and RCSQ and ESCA scores were higher than those of the control group,with statistically significant diff erences(P<0.05).The total complication rate of patients in the observation group(2.17%)was lower than that of the control group(17.39%),and the difference between the groups was statistically significant(P<0.05).Conclusion Risk prevention and controlbased all-round nursing intervention can improve the renal function and nutritional status of elderly peritoneal dialysis patients with chronic renal failure,regulate the negative psychological state,enhance the patients'self-care ability,improve the quality of sleep,reduce the occurrence of complications,and

关 键 词：风险防控 全方位护理 腹膜透析 肾功能 并发症 

分 类 号：R473.5[医药卫生—护理学]