摘要
目的探究分析协同护理在终末期肾病行高通量血液透析患者中的应用价值,为临床血液透析护理工作提供理论依据。方法搜集于2021年6月至2022年10月经南京市高淳人民医院血液透析科进行高通量血液透析治疗的终末期肾病患者作为分析探究对象,共189例。根据计算机随机数字编号将患者分为干预组(95例)与试验组(94例)。干预组采用常规护理干预方式,而试验组则采用协同护理干预方式。对比分析两组患者干预前后的自我护理行为能力、并发症发生情况、生存质量。结果入组时,两组终末期肾病患者的自我护理行为量表(ASBHD-AVF)评分、肾脏病生存质量简表(KDQOL-SFTM1.3)评分比较无显著差异(P>0.05);干预后,试验组患者的ASBHD-AVF评分高于干预组、KDQOL-SFTM1.3评分高于干预组(P<0.05);试验组患者的并发症总发生率(17.02%)低于干预组的29.47%(P<0.05)。结论针对行高通量血液透析治疗的终末期肾病患者,通过协同护理干预能显著提升患者的自我护理行为能力与生活质量,降低并发症发生风险,护理安全性良好。
Objective To explore and analyze the application value of collaborative nursing in patients with end-stage renal disease undergoing highflux hemodialysis,and provide theoretical basis for clinical hemodialysis nursing.Methods A total of 189 patients with end-stage renal disease who were treated with high-flux hemodialysis in the hemodialysis department of Nanjing Gaochun People's Hospital from June 2021 to October 2022 were collected as analysis subjects.The patients were divided into intervention group(95 cases)and experimental group(94 cases)according to the computer random number.The intervention group adopted routine nursing intervention,while the experimental group adopted cooperative nursing intervention.The self-care behavior ability,complications and quality of life of the two groups before and after intervention were compared and analyzed.Results At the time of enrollment,there was no significant difference between the two groups in the scores of the Assessment of Self-care Behaviors with Arteriovenous Fistula in Hematology(ASBHD-AVF)and Kidney Disease Quality of Life Short Form 1.3(KDQOL-SFTM1.3)(P>0.05).After intervention,the ASBHD-AVF score of patients in the experimental group was higher than that in the intervention group,and the KDQOL-SFTM1.3 score was higher than that in the intervention group(P<0.05).The total complication rate of 17.02%in the experimental group was lower than 29.47%in the intervention group(P<0.05).Conclusion For patients with end-stage renal disease undergoing high-flux hemodialysis,collaborative nursing intervention can significantly improve the self-care behavior ability and quality of life of patients,reduce the risk of complications,and have good nursing safety.
作者
仲晓
徐小玲
ZHONG Xiao;XU Xiaoling(Blood Purification Center,Nanjing Gaochun People's Hospital,Nanjing 211300,China)
出处
《中国医药指南》
2023年第10期140-142,共3页
Guide of China Medicine
关键词
终末期肾病
高通量
血液透析
协同护理
并发症
生存质量
自我护理行为
End stage renal disease
High-flux
Hemodialysis
Cooperative nursing
Complication
Quality of life
Self-care behavior
