CAJ | 학술논문

目的：探索减轻老年尿毒症患者皮肤瘙痒的护理方法。方法将48例60岁以上确诊尿毒症伴皮肤瘙痒的患者随机分为实验组（n=24）和对照组（n=24），实验组采用心理暗示配合尿毒症常规皮肤护理，对照组采用尿毒症常规皮肤护理，分别于治疗前，治疗1、2周，参考DirkR. kuypers的评分系统,按皮肤瘙痒程度、分布、频率和睡眠干扰情况分别打分。结果常规皮肤护理配合心理暗示护理1周后,瘙痒积分由常规皮肤护理平均积分14.6±5.6降为11.4±3.8，有显著性差异(P<0.05)。常规皮肤护理配合心理暗示护理治疗2周与治疗1周比较，无显著性差异(P>0.05)。结论尿毒症常规皮肤护理加心理暗示减轻尿毒症患者皮肤瘙痒见效快，提高了老年尿毒症患者的生活质量，但不适合长期应用。
목적：탐색감경노년뇨독증환자피부소양적호리방법。방법장48례60세이상학진뇨독증반피부소양적환자수궤분위실험조（n=24）화대조조（n=24），실험조채용심리암시배합뇨독증상규피부호리，대조조채용뇨독증상규피부호리，분별우치료전，치료1、2주，삼고DirkR. kuypers적평분계통,안피부소양정도、분포、빈솔화수면간우정황분별타분。결과상규피부호리배합심리암시호리1주후,소양적분유상규피부호리평균적분14.6±5.6강위11.4±3.8，유현저성차이(P<0.05)。상규피부호리배합심리암시호리치료2주여치료1주비교，무현저성차이(P>0.05)。결론뇨독증상규피부호리가심리암시감경뇨독증환자피부소양견효쾌，제고료노년뇨독증환자적생활질량，단불괄합장기응용。
objective To explore reduce the nursing methods of elderly patients with uremia itching.Methods 48 patients over 60 years confirmed uremia with itchy skin of patients were randomly divided into experimental group and the control group, experimental group use the psychological suggestion with uremia regular skin care, control group adopts uremia routine skin care, respectively, before treatment, treatment 1, 2 weeks, reference DirkR. Kuypers scoring system, according to the degree of skin itching, distribution, frequency and sleep disturbance, respectively.Results Psychological suggestion with uremia regular skin care 1 week ,the value was 11. 4±3. 8, have significant difference (P<0.05). After the second week of the treatment for 1 week there was no significant difference (P>0.05).Conclusion Psychological suggestion with uremia regular skin care, relieve itchy skin, uremia patients can improve the quality of life of elderly patients with uremia, but is not suitable for long-term use.