多学科协作护理在尿毒症血液透析患者中的应用效果  

Application effects of multidisciplinary collaborative nursing in uremic hemodialysis patients

作　　者：张明明 鲁西洋 ZHANG Mingming;LU Xiyang(Dialysis Room of the First Affiliated Hospital of Henan University,Kaifeng 475000 Henan,China)

机构地区：[1]河南大学第一附属医院透析室,河南开封475000

出　　处：《中国民康医学》2025年第9期175-177,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察多学科协作护理在尿毒症血液透析患者中的应用效果。方法:回顾性分析2019年1月至2022年6月该院收治的384例尿毒症血液透析患者的临床资料,按照护理方法不同将其分为观察组和对照组各192例。对照组实施常规护理,观察组在对照组基础上实施多学科协作护理,两组均护理3个月。比较两组依从率,护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分,以及并发症发生率。结果:观察组依从率高于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组躯体功能、心理功能、社会功能、物质生活状态等GQOLI-74各维度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:多学科协作护理应用于尿毒症血液透析患者可提高依从率和生命质量评分,降低负性情绪评分和并发症发生率,效果优于常规护理。Objective:To observe application effects of multidisciplinary collaborative nursing in uremic hemodialysis patients.Methods:The clinical data of 384 uremic hemodialysis patients admitted to the hospital from January 2019 to June 2022 were retrospectively analyzed.According to different nursing methods,they were divided into observation group and control group,192 cases in each group.The control group was given routine nursing,while the observation group was given the multidisciplinary collaborative nursing on the basis of that of the control group.Both groups received 3 months of nursing care.The compliance rates,the scores of negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and quality of life[general quality of life inventory-74(GQOLI-74)]before and after the nursing,and the incidence of complications were compared between the two groups.Results:The compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of GQOLI-74 dimensions such as physical function,psychological function,social function and material life state in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions:The multidisciplinary collaborative nursing in the uremic hemodialysis patients can improve the compliance rate and the quality of life scores,reduce the negative emotion scores and the incidence of complications.Moreover,it is superior to the routine nursing.

关 键 词：多学科协作护理 尿毒症 血液透析 依从率 生命质量 负性情绪 并发症 

分 类 号：R473.6[医药卫生—护理学]