中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
17期
82-84
,共3页
终末期肾病%血液透析%营养护理
終末期腎病%血液透析%營養護理
종말기신병%혈액투석%영양호리
End-stage renal disease%Hemodialysis%Nutrition care
目的：探讨和研究营养护理在终末期肾病血液透析患者中的应用效果，为临床护理方案选择提供必要依据。方法：选取2012年8月-2014年8月本院收治的100例行维持性血液透析治疗的终末期肾病患者，根据随机数字表法分为两组，每组各50例，对照组采用常规护理措施，观察组则在常规护理基础上进行营养护理，对两组患者干预前后的营养状况及生活质量进行比较。结果：干预前两组患者的营养状况比较差异无统计学意义（P>0.05），干预后观察组患者的体重指数、白蛋白、肌酐、血红蛋白水平均显著高于对照组，营养不良炎症评分（MIS）明显低于对照组，两组比较差异均有统计学意义（P<0.05）；生活质量统计显示，干预前两组患者的生活质量量表（SF-36）评分比较差异无统计学意义（P>0.05），干预后观察组患者的一般健康状况、生理功能、生理职能、躯体疼痛、精力、社会职能、情感职能、躯体健康总评、心理健康总评均优于对照组，两组比较差异均有统计学意义（P<0.05）。结论：维持性血液透析治疗的终末期肾病患者往往营养状况较差，实施合理的营养护理能够显著地改善患者的营养水平及生活质量，值得在临床上推广和应用。
目的：探討和研究營養護理在終末期腎病血液透析患者中的應用效果，為臨床護理方案選擇提供必要依據。方法：選取2012年8月-2014年8月本院收治的100例行維持性血液透析治療的終末期腎病患者，根據隨機數字錶法分為兩組，每組各50例，對照組採用常規護理措施，觀察組則在常規護理基礎上進行營養護理，對兩組患者榦預前後的營養狀況及生活質量進行比較。結果：榦預前兩組患者的營養狀況比較差異無統計學意義（P>0.05），榦預後觀察組患者的體重指數、白蛋白、肌酐、血紅蛋白水平均顯著高于對照組，營養不良炎癥評分（MIS）明顯低于對照組，兩組比較差異均有統計學意義（P<0.05）；生活質量統計顯示，榦預前兩組患者的生活質量量錶（SF-36）評分比較差異無統計學意義（P>0.05），榦預後觀察組患者的一般健康狀況、生理功能、生理職能、軀體疼痛、精力、社會職能、情感職能、軀體健康總評、心理健康總評均優于對照組，兩組比較差異均有統計學意義（P<0.05）。結論：維持性血液透析治療的終末期腎病患者往往營養狀況較差，實施閤理的營養護理能夠顯著地改善患者的營養水平及生活質量，值得在臨床上推廣和應用。
목적：탐토화연구영양호리재종말기신병혈액투석환자중적응용효과，위림상호리방안선택제공필요의거。방법：선취2012년8월-2014년8월본원수치적100례행유지성혈액투석치료적종말기신병환자，근거수궤수자표법분위량조，매조각50례，대조조채용상규호리조시，관찰조칙재상규호리기출상진행영양호리，대량조환자간예전후적영양상황급생활질량진행비교。결과：간예전량조환자적영양상황비교차이무통계학의의（P>0.05），간예후관찰조환자적체중지수、백단백、기항、혈홍단백수평균현저고우대조조，영양불량염증평분（MIS）명현저우대조조，량조비교차이균유통계학의의（P<0.05）；생활질량통계현시，간예전량조환자적생활질량량표（SF-36）평분비교차이무통계학의의（P>0.05），간예후관찰조환자적일반건강상황、생리공능、생리직능、구체동통、정력、사회직능、정감직능、구체건강총평、심리건강총평균우우대조조，량조비교차이균유통계학의의（P<0.05）。결론：유지성혈액투석치료적종말기신병환자왕왕영양상황교차，실시합리적영양호리능구현저지개선환자적영양수평급생활질량，치득재림상상추엄화응용。
Objective:To explore and study the nutritional care at the end of the application effect of end-stage renal disease with hemodialysis patients,to provide the necessary basis for the selection of clinical nursing plan.Method:100 patients of maintenance hemodialysis for end-stage renal disease were selected in our hospital from August 2012 to August 2014 and were randomly divided into two groups,50 cases in each group.The control group was treated with routine nursing care,the observation group was trested on the basis of routine nursing with nutritional care,the nutritional status and life the quality of two groups’ patients before and after intervention were compared.Result:Compared two groups’ patients of nutritional status before the intervention,the difference was no statistically significant(P>0.05).After intervention,the observation group of BMI,albumin,creatinine,and hemoglobin levels were significantly higher than those in the control group,the malnutrition inflammation score (MIS) was significantly lower than that of the control group,the differences were statistically significant(P<0.05).Before the intervention,compared two groups’ patients quality of life scale (SF-36) scores,the difference was no statistically significant(P>0.05).After intervention,the observation group of general health,physiological function,physiological function,body pain,energy,social function,emotional function,physical health and mental health overall evaluation were significantly better than the control group,the difference was statistically significant(P<0.05). Conclusion:The treatment of maintenance hemodialysis patients with end-stage renal disease is often poor nutritional status, the implementation of nutrition care reasonable nutrition level and quality of life improved significantly in patients,it is worthy of clinical popularization and application.
