摘要
目的探讨延续护理对肾功能衰竭血液透析患者疗效和生活质量的影响。方法将2011年11月至2015年11月入住我院的73例慢性肾功能衰竭血透患者按照护理方式分为对照组(n=35)与观察组(n=38)。对照组采用常规护理,观察组在此基础上采用延续护理。比较护理前后主观营养评分(SGA)、营养不良-炎症评分(MIS)及营养知识掌握状况评分、护理前后各项营养学指标改善情况、护理前后SF-36生活量表评分。结果 (1)2组护理后SGA及MIS评分均显著低于护理前,差异有统计学意义(P<0.05,P<0.01),2组护理后营养知识掌握状况评分均显著高于护理前,差异有统计学意义(P<0.05);(2)对照组护理干预前后TP、Alb、PA及Hb水平差异均无统计学意义,观察组护理干预后各项营养指标水平均显著高于护理前及对照组护理干预后,差异有统计学意义(P<0.05);(3)观察组患者护理后SF-36生活量表中PF、BP、GH、SF、RE及MH评分均显著高于护理前,差异有统计学意义(P<0.05),但对照组患者护理前后SF-36生活量表各维度评分差异均无统计学意义(P>0.05)。结论延续护理可有效提高肾功能衰竭患者的临床疗效,且可有效改善肾功能衰竭血液透析患者生活质量,值得临床推广应用。
Objective To investigate the effects of extended nursing care on the life quality and efficacy of renal failure in he-modialysis patients. Methods Seventy-three hemodialysis patients with chronic renal failure admitted into our hospital from November, 2011 to November, 2015 were divided into 2 groups in accordance with different ways of nursing care, i. e. the control group （ n = 35 ） and the observation group （ n = 38）. The control group received routine care, while the observation group was given extended nursing care, in addition to routine care. Before and after nursing care, comparisons were made on SGA scores, MIS and nutritional knowledge scores, improvement of nutrition indicators before and after nursing care, as well as SF-36 scores before and after nursing care. Results （1） Following nursing care, SGA and MIS scores of the 2 groups were significantly lower than those before nursing（P 〈0. 05, P 〈 0. 01） , and after nursing care the nutritional knowledge scores of the 2 groups were significantly higher than those before nursing, with statistical significance （P 〈0. 0 5 ） . （ 2） There was statistical significance in the levels of TP, Alb, PA and Hb for the control group, after nursing intervention. Following nursing intervention, various nutritional indicators of the observation group were significantly higher than those before nursing, and were also obviously higher than those of the control group after nursing intervention, also with statistical significance（P 〈0. 05） . （3） After nursing intervention, the PF, BP, GH, SF, RE and MH scores of the SF-36 in the observation group were significantly higher than those before nursing, also with statistical significance（P 〈0.05）. However, there was no statistical signifi-cance in the scores of various indicators of the SF-36 both before and after nursing intervention for the patients of the control group （P 〈0. 05 ）. Conclusion The extended nursing care could effectively impro
出处
《海军医学杂志》
2016年第6期551-554,共4页
Journal of Navy Medicine
关键词
延续护理
肾功能衰竭
血液透析
生活质量
Extended nursing care
Renal failure
Hemodialysis
Quality of life
