摘要
目的探讨老年慢性肾脏病(CKD)5期患者低温化透析联合舒适护理干预模式的临床效果。方法选取2014年1月至2018年6月本院老年CKD5期患者60例,随机均分为对照组和观察组各30例。对照组给予常规血液透析治疗和肾病常规护理,观察组实施低温透析联合舒适护理干预模式,为患者选择比其基础体温低0.5℃的透析液进行透析治疗。干预4周,对比两组患者血压波动(BPV)、睡眠质量(PSQI)及生活质量(SF-36)。结果干预后,观察组BPV波动幅度明显较对照组平稳,两组收缩压变异系数SBP-CV比较差异有统计学意义(t=-8.9079,P<0.0001),舒张压变异系数DBP-CV比较差异有统计学意义(t=-5.3166,P<0.0001);观察组PSQI睡眠各项评分均低于对照组(P<0.05),说明睡眠整体质量明显优于对照组;两组生活质量评价中精神健康比较差异无统计学意义(P>0.05),其他各维度结果比较差异有统计学意义(P<0.05)。结论低温化透析联合舒适护理干预模式可明显减缓老年CKD5期患者血液透析过程中血压波动幅度,有效改善患者睡眠质量和生活质量。
Objective To explore the clinical effect of low-temperature dialysis combined with comfortable nursing intervention model in elderly patients with stage 5 chronic kidney disease (CKD). Methods Sixty elderly patients with stage 5 CKD in our hospital from January 2014 to June 2018 were randomly divided into control group and observation group with 30 patients in each group. The control group was given routine hemodialysis treatment and routine nephropathy care, while the observation group was given low-temperature dialysis (the temperature of dialysate was the basal body temperature minus 0.5℃) combined with comfortable nursing intervention. After 4 weeks of intervention, blood pressure fluctuations (BPV), sleep quality (PSQI), and quality of life (SF-36) were compared between the two groups. Results After the intervention, the BPV fluctuation amplitude of the observation group was significantly stable compared with the control group. There was statistically significant difference in systolic blood pressure coefficient of variation (SBP-CV) between the two groups (t=-8.907 9, P<0.000 1), there was statistically significant difference in diastolic blood pressure coefficient of variation (DBP-CV) between the two groups (t=-5.316 6, P<0.000 1). The PSQI sleep scores of the observation group were lower than those of the control group (P<0.05), indicating that the overall quality of sleep of the observation group was significantly better than that of the control group. There was no statistically significant difference in mental health among quality of life evaluation between the two groups (P>0.05);there were statistically significant differences in the results of other dimensions (P<0.05). Conclusion The combination of low temperature dialysis combined with comfortable nursing intervention mode can significantly reduce the fluctuation of blood pressure during hemodialysis in elderly patients with stage 5 CKD, and effectively improve the sleep quality and quality of life of patients.
作者
汤锦美
胡登科
刘雷
Tang Jinmei;Hu Dengke;Liu Lei(Department of Nephrology and Geriatrics, The Fourth People's Hospital of Lianyungang, Lianyungang 220023,China)
出处
《国际医药卫生导报》
2019年第6期857-859,共3页
International Medicine and Health Guidance News
基金
江苏省连云港市卫生计生科技项目(201626).
关键词
老年
CKD
低温透析
舒适护理
血压波动
睡眠质量
生活质量
Elderly
Chronic kidney disease (CKD)
Hypothermic dialysis
Comfort nursing
Blood pressure fluctuation
Sleep quality
Quality of life