延續(xù)護理在慢性腎衰竭患者血液透析中的臨床護理研究

陳梅梅

【摘要】 目的：分析研究在血液透析過程中實施延續(xù)護理的價值和意義。方法：選取100例于2014年2月-2016年2月至筆者所在醫(yī)院腎內(nèi)科進行血液透析治療的慢性腎衰竭患者作為研究對象并通過抽簽的方法將其分為試驗組和對照組各50例，所有患者在透析過程中均給予一般護理措施，而試驗組患者同時給予延續(xù)護理，比較不同護理措施對療效的影響。結(jié)果：試驗組患者不同時間檢測血肌酐和尿素氮水平明顯低于對照組，差異均有統(tǒng)計學意義（P<0.05）；試驗組患者不同時間自我護理能力測定量表（ESCA）評分高于對照組，差異均有統(tǒng)計學意義（P<0.05）。結(jié)論：慢性腎衰竭患者在血液透析過程中實施延續(xù)護理，可以顯著提高治療效果，改善患者的生活質(zhì)量和臨床癥狀，效果顯著，值得臨床推薦。

【關(guān)鍵詞】 慢性腎衰； 延續(xù)護理； 常規(guī)護理； 療效

中圖分類號 R473.5 文獻標識碼 B 文章編號 1674-6805（2016）24-0066-03

【Abstract】 Objective：To analyze and research the value and significance of continue nursing in the process of hematodialysis.Method：100 cases of chronic renal failure patients in our hospital from February 2014 to February 2016 were selected and divided into experimental group and control group by the method of drawing lots，with 50 cases in each group.All patients were performed general nursing measures in the process of dialysis，the experimental group was given continuing care at the same time.The effects of different nursing measures were compared.Result：At different time，the levels of serum creatinine and urea nitrogen in the experimental group were significantly lower than those in the control group，the differences were statistically significant（P<0.05）.The self-care ability measurement scale（ESCA） scores of the experimental group were higher than those of the control group，the differences were statistically significant（P<0.05）.Conclusion：The continuing nursing in the process of hemodialysis in patients with chronic renal failure can significantly improve the treatment effect and improve patients quality of life and clinical symptoms，which has obvious effect and is worthy of clinical recommendations.

【Key words】 Chronic renal failure； Continuing care； Conventional nursing； Curative effect

First-authors address：Longyan Peoples Hospital of Longyan City，Longyan 364000，China

doi：10.14033/j.cnki.cfmr.2016.24.036

慢性腎衰竭多由于患者的腎小球濾過率降低而造成其腎臟代謝紊亂，患者臨床上主要表現(xiàn)為無力、夜尿增多以及食欲差等。慢性腎衰竭患者病情較重，治療比較困難且預(yù)后差，給予持續(xù)性血液透析治療是此類患者維持生命的有效措施之一，目前已經(jīng)在臨床得到推廣和應(yīng)用[1-2]。但是透析治療會增加患者的經(jīng)濟負擔和心理壓力，因此很容易誘發(fā)患者出現(xiàn)各種負面情緒，影響治療效果。臨床統(tǒng)計數(shù)據(jù)顯示，慢性腎功能衰竭患者在行透析治療的過程中實施延續(xù)護理，能夠明顯增加治療效果[3]。筆者所在醫(yī)院腎內(nèi)科對100例慢性腎衰行血液透析治療患者分別采取不同的護理措施，取得了一定的效果，現(xiàn)報道如下。

1 資料與方法

1.1 一般資料

按照隨機數(shù)字表法選取100例于2014年2月-2016年

2月至筆者所在醫(yī)院腎內(nèi)科進行血液透析治療的慢性腎衰竭患者作為研究對象，并通過抽簽的方法將其分為試驗組和對照組，各50例。……