摘要
目的：探讨个体化护理措施对维持性血液透析患者继发性甲状旁腺功能亢进应用骨化三醇冲击治疗效果的影响。方法选取2011年10月—2013年10月进行血液透析继发甲状旁腺功能亢进患者60例，按照随机数字表法将其随机分为对照组和观察组各30例，对照组接受常规护理指导，观察组患者接受个体化认知干预、饮食干预等个体化护理措施。干预后6个月评价患者服药依从性、饮食情况、血钙、血磷、血清白蛋白及全段甲状旁腺激素（ iPTH）含量。结果干预后观察组患者服药依从性良好20例，一般8例，差2例，优于对照组，差异有统计学意义（ Z＝2．170，P＜0．05）。观察组饮食达标率83．33％（25／30），高于对照组的60．00％（18／30），差异有统计学意义（χ^2＝4．022，P＜0．05）。两组患者血钙含量比较差异无统计学意义，观察组血磷浓度、钙磷乘积、iPTH含量与对照组比较差异有统计学意义（P＜0．05）。结论个体化护理措施在甲状旁腺功能亢进应用骨化三醇冲击治疗中起到了积极作用。
Objective To investigate the effect of individual nursing care interventions on calcitriol shock treatment for hemodialysis patients with secondary hyperparathyroidism .Methods From October 2011 to October 2013 , 60 maintenance hemodialysis patients with secondary hyperparathyroidism with iPTH above 1 000 pg/ml were randomly divided into control group （ 30 cases ） and experimental group （ 30 cases ） .The control group received routine care , and the experimental group was provided individual nursing care interventions by nurses , including individualized cognitive intervention , dietary intervention and drug guidance . The effect of nursing intervention was evaluated after 6 months.Results In the experimental group, 20 patients had a good compliance , 8 patients had a moderate compliance , 2 patients had poor compliance after the implementation, which were significantly better than those in the control group （Z=2.170,P〈0.05）.The pass rate of diet in the experimental group was 83.33%（25/30）, which was significantly higher than 60.00%（18/30） in the control group （χ^2 =4.022,P 〈0.05）.There was no significant difference in the calcium content of the two groups but phosphorus , calcium-phosphorus product , iPTH levels were significantly lower in the experimental group （P〈0.05）.Conclusions The individual nursing care plays a positive role in the effect of hyperparathyroidism calcitriol shock treatment .
出处
《中华现代护理杂志》
2015年第1期57-59,共3页
Chinese Journal of Modern Nursing
