医学与社会
醫學與社會
의학여사회
MEDICINE AND SOCIETY
2015年
6期
68-71
,共4页
综合护理%血液透析%尿毒症%血液灌流
綜閤護理%血液透析%尿毒癥%血液灌流
종합호리%혈액투석%뇨독증%혈액관류
Comprehensive Nursing Care%Hemodialysis%Uremia%Blood Perfusion
目的：：探讨综合护理模式在血液透析联合血液灌流治疗尿毒症患者中的应用效果。方法：回顾性分析兰州军区某医院肾病内科2011年7月-2013年9月收治的120例尿毒症实施血液透析联合血液灌流治疗的患者，分为综合护理组(60例)和常规护理组(60例)，比较两组患者入院时与住院2周的心理因素、住院过程中对治疗的依从性、血尿素氮等临床指标。结果：综合护理组与常规护理组在治疗前的HAMD、HAMA评分差异不具有显著性(P>0.05)，两组在治疗后的上述评分较治疗前均显著降低(P<0.05)，治疗后综合护理组的HAMD、HAMA评分分别为(11.38±2.74)分和(10.65±2.76)分，均显著低于常规护理组(P<0.05)。综合护理组患者的治疗依从性显著的优于常规护理组(P<0.05)。治疗前两组患者的尿素氮、肌酐、β2微球蛋白测定值差异不显著(P>0.05)，治疗后两组患者的尿素氮、肌酐、β2微球蛋白测定值较治疗前均显著降低(P<0.05)，但两组间治疗后差异均不显著(P>0.05)。综合护理组患者治疗过程中感染率为10%，显著低于常规护理组患者的26.67%(P<0.05)。结论：综合护理模式在血液透析联合血液灌流治疗尿毒症患者中能够显著的降低患者的抑郁焦虑情绪，同时提高患者治疗的依从性，降低治疗过程中发生感染的几率。
目的：：探討綜閤護理模式在血液透析聯閤血液灌流治療尿毒癥患者中的應用效果。方法：迴顧性分析蘭州軍區某醫院腎病內科2011年7月-2013年9月收治的120例尿毒癥實施血液透析聯閤血液灌流治療的患者，分為綜閤護理組(60例)和常規護理組(60例)，比較兩組患者入院時與住院2週的心理因素、住院過程中對治療的依從性、血尿素氮等臨床指標。結果：綜閤護理組與常規護理組在治療前的HAMD、HAMA評分差異不具有顯著性(P>0.05)，兩組在治療後的上述評分較治療前均顯著降低(P<0.05)，治療後綜閤護理組的HAMD、HAMA評分分彆為(11.38±2.74)分和(10.65±2.76)分，均顯著低于常規護理組(P<0.05)。綜閤護理組患者的治療依從性顯著的優于常規護理組(P<0.05)。治療前兩組患者的尿素氮、肌酐、β2微毬蛋白測定值差異不顯著(P>0.05)，治療後兩組患者的尿素氮、肌酐、β2微毬蛋白測定值較治療前均顯著降低(P<0.05)，但兩組間治療後差異均不顯著(P>0.05)。綜閤護理組患者治療過程中感染率為10%，顯著低于常規護理組患者的26.67%(P<0.05)。結論：綜閤護理模式在血液透析聯閤血液灌流治療尿毒癥患者中能夠顯著的降低患者的抑鬱焦慮情緒，同時提高患者治療的依從性，降低治療過程中髮生感染的幾率。
목적：：탐토종합호리모식재혈액투석연합혈액관류치료뇨독증환자중적응용효과。방법：회고성분석란주군구모의원신병내과2011년7월-2013년9월수치적120례뇨독증실시혈액투석연합혈액관류치료적환자，분위종합호리조(60례)화상규호리조(60례)，비교량조환자입원시여주원2주적심리인소、주원과정중대치료적의종성、혈뇨소담등림상지표。결과：종합호리조여상규호리조재치료전적HAMD、HAMA평분차이불구유현저성(P>0.05)，량조재치료후적상술평분교치료전균현저강저(P<0.05)，치료후종합호리조적HAMD、HAMA평분분별위(11.38±2.74)분화(10.65±2.76)분，균현저저우상규호리조(P<0.05)。종합호리조환자적치료의종성현저적우우상규호리조(P<0.05)。치료전량조환자적뇨소담、기항、β2미구단백측정치차이불현저(P>0.05)，치료후량조환자적뇨소담、기항、β2미구단백측정치교치료전균현저강저(P<0.05)，단량조간치료후차이균불현저(P>0.05)。종합호리조환자치료과정중감염솔위10%，현저저우상규호리조환자적26.67%(P<0.05)。결론：종합호리모식재혈액투석연합혈액관류치료뇨독증환자중능구현저적강저환자적억욱초필정서，동시제고환자치료적의종성，강저치료과정중발생감염적궤솔。
Objective:To explore the integrated nursing mode in hemodialysis (HD) combined blood perfusion (HP) in the treatment of pa-tients with uremia application effect. Methods:Nephritis internal medicine in July 2011 to September 2013 were random number table method treated 120 cases of uremia patients treated by implementing HD combined HP is divided into comprehensive nursing group (60 cases) and rou-tine nursing group (60 cases), two groups of patients with hospital 2 weeks in the process of psychological factors, the length of adherence to treatment, the difference of blood urea nitrogen and other clinical indicators were compared. Results: Comprehensive nursing group and routine nursing group before treatment of HAMD, HAMA score difference was not significant (P>0. 05), the score of two groups after treatment than be-fore treatment were significantly lower (P<0. 05), comprehensive nursing group after treatment of HAMD, HAMA scores were 11. 38± 2. 74 points and 10. 65 ±2. 76 patients were significantly lower than that of conventional care group (P<0. 05). Comprehensive nursing group of treat-ment adherence for patients with significantly better than that of patients with routine nursing group (P<0. 05). Two groups of patients before treat-ment of urea nitrogen, creatinine, beta 2 macroglobulin value difference was not significant (P>0. 05), two groups of patients after treatment of u-rea nitrogen, creatinine, beta 2 macroglobulin value than before treatment were significantly lower (P<0. 05), but no significant difference be-tween the two groups after treatment (P>0. 05). Comprehensive nursing groups in the process of treatment in patients with significant infection rate was 10% less than 26. 67% of the patients with routine nursing group (P<0. 05). Conclusion:Comprehensive nursing model in hemodialysis u-nion blood perfusion in the treatment of patients with uremia can significantly reduce the anxiety of patients with depression, and it is necessaey to improve the patient's compliance and reduce the chance of infection in the process of treatment.
