摘要
目的探究分析在血液透析患者中采取精细化护理对并发症和患者生活质量的影响。方法从2017年9月-2020年4月在丽江市人民医院接受血液透析治疗的患者中抽选146例,采用盲抽法随机分为两组。实验组73例,接受精细化护理,对照组73例,接受常规护理,对比两组并发症发生情况、干预前后生活质量[健康状况调查简表(SF-36)]以及心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果实验组患者并发症发生率(4.11%)明显低于对照组(13.70%),差异具有统计学意义(P<0.05)。实验组患者干预后SF-36量表各维度(总体健康、社会交往、精神状态、角色功能)评分均明显高于对照组,差异具有统计学意义(P<0.05)。实验组于患者干预后心理状态量表(SAS与SDS)评分均低于对照组,差异具有统计学意义(P<0.05)。结论在血液透析患者中采取精细化护理能够有效减少并发症发生,提升患者生活质量,同时对患者心理状态也有调节作用,整体护理效果显著,值得推广应用。
Objective To explore and analyze effect of fine nursing on complications and life quality of hemodialysis patients.Methods The paper chose 146 patients with hemodialysis treatment in Lijiang City People’s Hospital from September 2017 to April 2020,and divided them into two groups randomly by blind sampling.73 cases in experimental group were treated with fine nursing and 73 cases in control group with routine nursing.Incidence of complications,life quality before and after intervention[short form of health survey(SF-36)]and psychological status[self rating anxiety scale(SAS)and self rating depression Scale(SDS)]was compared between two groups.Results Incidence of complications in experimental group(4.11%)was significantly lower than control group(13.70%)(P<0.05).After intervention,scores of all dimensions of SF-36 scale(overall health,social interaction,mental state,role function)in experimental group were significantly higher than control group(P<0.05),difference was statistically significant.Scores of SAS and SDS in experimental group were lower than control group(P<0.05),difference was statistically significant.Conclusion Fine nursing can effectively reduce incidence of complications,improve life quality of hemodialysis patients,and regulate psychological state,with significant overall nursing effect,which is worthy of promotion and applilcation.
作者
张文凤
ZHANG Wenfeng(Lijiang City People's Hospital,Lijiang,Yunnan,674100)
出处
《智慧健康》
2022年第27期223-226,共4页
Smart Healthcare
作者简介
张文凤(1981-),女,汉族,本科,云南丽江,主管护师,研究方向:血液透析护理。
